INQUIRY FORM FOR ADMISSION (2021-2022)
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COURSES OFFERED
DIPLOMA: • Medical Laboratory Technology • Medical Record Keeping Technology • Medical Image Technology [X-RAY] • Operation Theatre Technology • Ophthalmic Technology [Optometry] • Renal Dialysis Technology • Health Inspector
UG DEGREE: • Medical Lab Technology [BMLT] • Emergency & Trauma Care Technology • Anaesthesia & Operation Theatre Technology • Cardiac Care Technology • Renal Dialysis Technology • Respiratory Care Technology • Optometry • Neuro Science Technology • Imaging Technology • Perfusion Technology
PG DEGREE: • Medical Lab Technology [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.
For further details and institute visit, call our admission help desk: 8073836235 (Phone / Whatsapp) | 9686114872 (Vice Principal Direct)
1. You are looking admission for *
2. Name of the student *
3. Age *
4. Date of Birth *
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5. Gender *
6. Residence of candidate *
7. Mobile number of the student *
8. Whatsapp number of student *
9. E.mail Id of the student
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.
11. Course looking for *
12. Diploma Courses
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13. Degree Courses (UG/B.Sc.)
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14. Post Graduation Courses (PG/M.Sc.- MLT)
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15. Which Entrance Exams appeared / qualified *
16. Rank obtained in Entrance Exam (optional).
17. Percentage of marks scored in 10th/SSC/SSLC/ PUC/12th/10+2/ Intermediate/B.Sc in Allied Health Sciences. *
18. Name of the Father/Mother/Guardian *
19. Occupation of Father/Mother/Guardian
20. Address for communication (Postal) *
21. E.mail ID of the Father/Mother/Guardian (Optional)
22. Mobile number of the Father/Mother/Guardian *
23. Whatsapp number of Father/Mother/Guardian
24. Are you required a call back for further details *
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