INQUIRY FORM FOR ADMISSION (2020-2021)
* Required
Courses Offered: Diploma – MLT/MIT/HI/OT/DT/OTT/MRT, B.Sc - MLT/RCT/ OTT/AST/ NST/ MIT/ RDT/ CCT/ PT/Optometry/, M.Sc (MLT) - Haematology & Blood Transfusion/Microbiology & Immunology/Clinical Biochemistry.
*Candidates are requested kindly to fill up with relevant Information for contact and guidance for further admission process. Confirmation of your admission is solely depends on availability of Seats and final decisions by Management.
Option 1
Clear selection
For further details and institute visit, call our admission help desk: 9448660100 (Principal Direct)/9686114872 (Vice Principal Direct)/8277073096 (College office)/7259011111 (Admission Helpline Direct)
1. You are looking admission for
*
Self
Son
Daughter
Relative
Friend
Others (Service consultant)
2. Name of the student
*
Your answer
3. Age
*
Your answer
4. Date of Birth
*
MM
/
DD
/
YYYY
5. Gender
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Male
Female
Transgender
6. Residence of candidate
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Indian
NRI
Foreigner
7. Mobile number of the student
*
Your answer
8. Whatsapp number of student
*
Your answer
9. E.mail Id of the student
Your answer
10. Recent course completed
*
Eligibility:*For Diploma Lateral Entry - The candidate must be passed in PUC/12th/10+2/Intermediate from science stream only. **For B.Sc Lateral Entry: The candidate must be passed in concerned Paramedical Diploma.
10th
SSLC
SSC
PUC failed for Diploma
PUC
12th
10+2
Intermediate
Paramedical Diploma
Bachelor Degree in Allied Health Sciences
11. Course looking for
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Diploma
Diploma Lateral Entry
B.Sc
B.Sc Lateral Entry
Post graduation
12. Diploma Courses
Medical Laboratory Technology (MLT)
Medical X-Ray Technology (MXT)
Health Inspector (HI)
Ophthalmic Technology (OT)
Dialysis Technology (DT)
Operation Theatre Technology (OTT)
Medical Record Technology (MRT)
Clear selection
13. Degree Courses (UG/B.Sc.)
Medical Laboratory Technology (MLT)
Respiratory Care Technology (RCT)
Operation Theatre Technology (OTT)
Anaesteology (AST)
Neuroscience Technology (NST)
Radiology (Imaging Technology)
Renal Dialysis Technology (RDT)
Cardiac Care Technology (CCT)
Perfusion Technology (PT)
Optometry (Ophthalmic Technology)
Clear selection
14. Post Graduation Courses (PG/M.Sc.- MLT)
Haematology & Blood Transfusion
Microbiology & Immunology
Clinical Biochemistry
Clear selection
15. Which Entrance Exams appeared/qualified
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KEA
CET
COMED-K
NEET
NONE
16. Rank obtained in Entrance Exam (optional).
Your answer
17. Percentage of marks scored in 10th/SSC/SSLC/ PUC/12th/10+2/ Intermediate/B.Sc in Allied Health Sciences.
*
Your answer
18. Name of the Father/Mother/Guardian
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Your answer
19. Occupation of Father/Mother/Guardian
Your answer
20. Address for communication (Postal)
*
Your answer
21. E.mail ID of the Father/Mother/Guardian (Optional)
Your answer
22. Mobile number of the Father/Mother/Guardian
*
Your answer
23. Whatsapp number of Father/Mother/Guardian
Your answer
24. Are you required further detail
*
YES
No
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