+91 947-100-2366
English
Application Form
Home
About Us
Director Message
About Us
Courses
Courses
Scholarship Test
Our Faculty
Our Hospital
Gallery
Notice
Contact Us
Enquiry Now
Find a courses
×
Diploma Coures
Bachelor Courses
Bachelor course
B.VOC. OPTOMETRY
B.VOC. MEDICAL LAB TECHNOLOGY
B.VOC. OPERATION THEATRE TECHNOLOGY
B.VOC. HOSPITAL MANAGEMENT
Diploma course
D.VOC. OPTOMETRY
D.VOC. MEDICAL LAB TECHNOLOGY
D.VOC. OPERATION THEATRE TECHNOLOGY
D.VOC. HOSPITAL MANAGEMENT
Enquiry Now
Application Form
Home
Application Form
Student basic information
Student's Full Name
Student's Father Name
Date Of Birth
Gender
Permanent Address
City
Pin Code
Mobile No
Correspondence Address
City
Pin Code
Mobile No
Place of Residence
Rural
Urban
Adhar Card No
Nationality
Email ID (Student)
Degree level
Select Courses
B.VOC.OPTOMETRY
B.VOC.MEDICAL LAB TECHNOLOGY
B.VOC.OPERATION THEATRE TECHNOLOGY
B.VOC.HOSPITAL MANAGEMENT
D.VOC.OPTOMETRY
D.VOC.MEDICAL LAB TECHNOLOGY
D.VOC.OPERATION THEATRE TECHNOLOGY
D.VOC.HOSPITAL MANAGEMENT
Payment Detail(DD/Cheque/Cash)
Details of JEE/CAT/MAT/NATA/Other Competitive Examination(if applicable)Please Specify....
Roll No
Rank
Score
Category
Select Category
Genral
OBC
SC
ST
EWS
PH
Minority
Student photo
Upload passport or birth documentation
Photo Must be in Passport (PP) Size. Max Upload Size 256KB
Details of Previous/Qualifying Examination (Attached attested Mark Sheets)
Name of Exam
Name of Institution/Subject
Board/University
Year of Passing
Marks Obtained
Max.Marks
% Marks/CGPA
X
XII
Diploma
Gradu
P.G
Others
Submit application
