Admission to Nursing, AHS, Physiotherapy, Occupational Therapy & Yoga Instructions for Online Payment Click on the Pay Now (Blue Color Button)Enter your Name, Email ID and Phone number.Make the Online Payment of Rs. 840/- (Application form inclusive of GST).Extract the transaction ID, date and screen shot of payment for proof.Fill in the appropriate options (Payment id, Transaction date and screenshot of payment proof) available in the application form. Application for MAHER Admission (2023-24) "*" indicates required fields PERSONAL INFORMATIONHiddenPh.D. Application NumberApplicant's Name: (In Block Letters)* Passport size photo*Accepted file types: jpg, jpeg, png, gif.Date of Birth* DD slash MM slash YYYY Age*Gender* Male Female Transgender Nationality* Indian Foreign FOR NRI / INTERNATIONAL APPLICANTS City and Country of Birth Passport Number Type of Visa Date of Expiry of Visa Marital status* Single Married Religion* Hindu Christian Muslim others If Other Religion, Specify* Caste* Community* OC BC MBC OBC SC ST Attested Photocopy of the Community Certificate*Max. file size: 2 MB.Aadhaar Number* Please provide AADHAAR Proof*Accepted file types: pdf, Max. file size: 2 MB.Phone No. / Mobile No.*Email* Physically Challenged Yes No if Yes, Mention the Type of Disability Please provide Certificate of Disability attested by competent authority)Accepted file types: pdf, Max. file size: 2 MB.Permanent Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard 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PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Address for Correspondence Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Are you the first graduate of your family? Yes No Do you have any siblings studying in MAHER ? Yes No If yes, Mention the Sibling Details Name of the Student Year of Study : Name of the Institution PARENT /GUARDIAN INFORMATIONFather’s / Legal Guardian’s Name: Father’s / Legal Guardian’s Occupation: Father’s / Legal Guardian’s Designation: Father’s Residential Contact Number: Father’s Office Contact No.: Father’s Email ID: Attested Photocopy of the Father’s Aadhaar cardMax. file size: 2 MB.Father’s / Legal Guardian’s Office Address:*Mother’s Name: Mother’s Occupation: Mother’s Designation: Mother’s Res Contact No.: Mother’s Office Contact No.: Mother’s Email ID: Attested Photocopy of the Mother’s Aadhaar cardMax. file size: 2 MB.Mother’s Office Address:Please indicate your family’s gross income for the financial year 2021 - 2022 :Attested Photocopy of the Income Certificate of the parentMax. file size: 2 MB.Whether either of your Parents were in the Defence Service? Yes No If yes, Provide Details : (Please attach Proof )Accepted file types: pdf, Max. file size: 2 MB.ACADEMIC DETAILS OF THE APPLICANTHSC (+2) DetailsName of the School Educational Board Medium of Instruction Month & Year of Passing Total Marks ObtainedPercentageAttested Photocopy of 12th Mark Sheets*Max. file size: 2 MB.SSLC (10th) DetailsName of the School Educational Board Medium of Instruction Month and Year of Passing Total Marks ObtainedPercentageAttested Photocopy of 10th Mark Sheets*Max. file size: 2 MB.Details of Marks secured in Qualifying Examinations (HSC Examination Marks)Subject 1 Marks securedMaximum MarksSubject 2 Marks securedMaximum MarksSubject 3 Marks securedMaximum MarksSubject 4 Marks securedMaximum MarksSubject 5 Marks securedMaximum MarksSubject 6 Maximum MarksMarks securedAttested Photocopy of the Transfer Certificate*Max. file size: 2 MB.Attested Photocopy of Conduct CertificateMax. file size: 2 MB.Upload Screenshot of Transaction*Max. file size: 2 MB.Attested Photocopy of Migration Certificate (For all except Tamil Nadu State Board Students) - (If applicable)Max. file size: 2 MB.Attested Photocopy of Nativity / Domicile Certificate (If applicable)Max. file size: 2 MB.CHOICE OF PROGRAM1st Choice:*Post Basic B.Sc (Nursing) - Meenakshi College of Nursing, Mangadu, Chennai.B.Sc (Anesthesia Technology) - Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Cardiovascular Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Medical Lab Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Perfusion Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Physician Assistant)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Radiology Imaging Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Renal Dialysis Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Respiratory Therapy) - Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Optometry) - Faculty of Allied Health Science, Enathur, KanchipuramBachelor of Physiotherapy (B.P.T) - Faculty of Physiotherapy, K.K. Nagar, ChennaiBachelor of Occupational Therapy (B.O.T) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiB.Sc Yoga - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiB.Sc Yoga Therapy - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.P.T (Orthopaedics) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Neurology) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Paediatrics) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Geriatrics)- Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Gyanecology)- Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Sports Physiotherapy) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Cardiorespiratory) - Faculty of Physiotherapy,KK Nagar, ChennaiM.Sc. Medical Surgical Nursing - Meenakshi College of Nursing,MangaduM.Sc. Child Health Nursing - Meenakshi College of Nursing,MangaduM.Sc. Obstetrics & Gynecology Nursing - Meenakshi College of Nursing,MangaduM.Sc. Mental Health Nursing - Meenakshi College of Nursing,MangaduM.Sc. Community Health Nursing - Meenakshi College of Nursing,MangaduM.Sc Yoga - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.Sc Yoga Therapy - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.O.T (Paediatrics) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiM.O.T (Neuroscience) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiM.O.T (Mental Health) - Faculty of Occupational Therapy, K.K. Nagar, Chennai2nd Choice:*Post Basic B.Sc (Nursing) - Meenakshi College of Nursing, Mangadu, Chennai.B.Sc (Anesthesia Technology) - Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Cardiovascular Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Medical Lab Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Perfusion Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Physician Assistant)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Radiology Imaging Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Renal Dialysis Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Respiratory Therapy) - Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Optometry) - Faculty of Allied Health Science, Enathur, KanchipuramBachelor of Physiotherapy (B.P.T) - Faculty of Physiotherapy, K.K. Nagar, ChennaiBachelor of Occupational Therapy (B.O.T) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiB.Sc Yoga - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiB.Sc Yoga Therapy - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.P.T (Orthopaedics) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Neurology) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Paediatrics) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Geriatrics)- Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Gyanecology)- Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Sports Physiotherapy) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Cardiorespiratory) - Faculty of Physiotherapy,KK Nagar, ChennaiM.Sc. Medical Surgical Nursing - Meenakshi College of Nursing,MangaduM.Sc. Child Health Nursing - Meenakshi College of Nursing,MangaduM.Sc. Obstetrics & Gynecology Nursing - Meenakshi College of Nursing,MangaduM.Sc. Mental Health Nursing - Meenakshi College of Nursing,MangaduM.Sc. Community Health Nursing - Meenakshi College of Nursing,MangaduM.Sc Yoga - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.Sc Yoga Therapy - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.O.T (Paediatrics) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiM.O.T (Neuroscience) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiM.O.T (Mental Health) - Faculty of Occupational Therapy, K.K. Nagar, Chennai3rd Choice:*Post Basic B.Sc (Nursing) - Meenakshi College of Nursing, Mangadu, Chennai.B.Sc (Anesthesia Technology) - Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Cardiovascular Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Medical Lab Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Perfusion Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Physician Assistant)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Radiology Imaging Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Renal Dialysis Technology)- Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Respiratory Therapy) - Faculty of Allied Health Science, Enathur, KanchipuramB.Sc (Optometry) - Faculty of Allied Health Science, Enathur, KanchipuramBachelor of Physiotherapy (B.P.T) - Faculty of Physiotherapy, K.K. Nagar, ChennaiBachelor of Occupational Therapy (B.O.T) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiB.Sc Yoga - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiB.Sc Yoga Therapy - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.P.T (Orthopaedics) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Neurology) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Paediatrics) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Geriatrics)- Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Gyanecology)- Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Sports Physiotherapy) - Faculty of Physiotherapy,KK Nagar, ChennaiM.P.T (Cardiorespiratory) - Faculty of Physiotherapy,KK Nagar, ChennaiM.Sc. Medical Surgical Nursing - Meenakshi College of Nursing,MangaduM.Sc. Child Health Nursing - Meenakshi College of Nursing,MangaduM.Sc. Obstetrics & Gynecology Nursing - Meenakshi College of Nursing,MangaduM.Sc. Mental Health Nursing - Meenakshi College of Nursing,MangaduM.Sc. Community Health Nursing - Meenakshi College of Nursing,MangaduM.Sc Yoga - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.Sc Yoga Therapy - Faculty of Yoga Science and Therapy, K.K. Nagar, ChennaiM.O.T (Paediatrics) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiM.O.T (Neuroscience) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiM.O.T (Mental Health) - Faculty of Occupational Therapy, K.K. Nagar, ChennaiHidden(For PG - Nursing Students)Attested Photocopy of minimum one year Clinical Experience Certificate (for Nursing Students)Max. file size: 2 MB.Attested Photocopy of State Nursing Council Registration Certificate (for Nursing Students)Max. file size: 2 MB.Applicants from other States must produce NOC and license issued by the Tamil Nadu Nurses and Midwives Council (for Nursing Students)Max. file size: 2 MB.Joint Declaration* I hereby affirm that the particulars given in the application are true and correct. I / We also agree to abide by the Rules and Regulations of Meenakshi Academy of Higher Education and Research Δ