JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ADMISSION FORM
Candidates are requested to fill the below mentioned form with valid details.
* Indicates required question
Email
*
Your email
I AM INTERESTED IN
*
B.Sc HS (3 YEAR DEGREE)
B.Sc HMS (3 YEAR DEGREE)
DHO - AFTER SSC (2 YEAR DIPLOMA)
HMCT- AFTER HSC (1 YEAR DIPLOMA)
Required
CANDIDATE'S LAST NAME
*
Your answer
CANDIDATE'S FIRST NAME
*
Your answer
CANDIDATE'S MIDDLE NAME
*
Your answer
CANDIDATE'S RESIDENTIAL ADDRESS
*
Your answer
CANDIDATE'S CONTACT NO.
*
Your answer
CANDIDATE'S BLOOD GROUP
Your answer
GENDER
Male
Female
Prefer not to say
Clear selection
DATE OF BIRTH
*
MM
/
DD
/
YYYY
PARENT'S/GUARDIAN'S CONTACT NUMBER (at least 2 numbers)
*
Your answer
QUALIFICATION DETAILS (SSC/HSC/GRADUATION)
PASSED
APPEARED
SSC
HSC
OTHERS
PASSED
APPEARED
SSC
HSC
OTHERS
PERCENTAGE GAINED IN SSC/HSC (as we know the results are pending mention how much percentage (%) you may get)
*
Your answer
STUDENTS CATEGORY
*
Open
SC/ST
OBC
NT
OTHERS
HSC BOARD
*
Maharashtra State Board
ICSE
CBSE
Other recognized state board
HOW DID YOU HEAR ABOUT OUR COLLEGE
Social Media
Through a Friend/ Ex Student
Newspaper
Outdoor Advertising
Just Dial
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report