Admission_2022_23

APPLICATION FORM FOR UNDERGRADUATE & POSTGRADUATE PROGRAMS IN NURSING, ALLIED HEALTH SCIENCE, PHYSIOTHERAPY, OCCUPATIONAL THERAPY & YOGA SCIENCE AND THERAPY

FOR ADMISSION 2022 - 2023

Roll Number(Required)

Student Name(Required)

Rank Secured in NEET(Required)

Mark Secured in NEET(Required)

Gender(Required)

Male

Female

Trans Gender

Date of Birth(Required)

Father's Name(Required)

Mother's Name(Required)

Contact Phone Number(Required)

Email(Required)

Religion(Required)

Community(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Posting Date(Required)