Admission Registration Form (Session 2020-21)
For Nursing & Paramedical Courses
Course Applied *
Name: *
Father's Name: *
Mother's Name: *
Sex (Male/Female) *
Mobile No: *
Date of Birth: *
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DD
/
YYYY
Nationality *
Category (Gen/OBC/SC/ST)
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WhatsApp Mobile No:
10th Passed year:
*
12th Passed Year: *
12th Board: *
12th stream: *
12th Percentage: *
Email id:
Permanent Address: *
Aadhar No *
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