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Application Form
     
   
       

Course Applied

Full name of Applicant
Date of Birth DD MM YYYY
Gender Male Female
Nationality
Religion
Caste SC ST BC BT

Permanent Address

 
Phone with STD Code

Address for Correspondence
Phone with STD Code

Name of the Parent/Guardian
(If parent is not alive):

Occupation of the Parent/Guardian
And annual Income

Whether the candidate is and NRI Foreign National

Yes No

Local Address
Phone with STD Code
Highest Exam Passed with Year
Name of the school/college last attended with address
Date of leaving the school/college

Tick the Course applied For: PUC/DEGREE/PG COURSES

 M.Sc Biotechnology
M.Sc Bio Chemistry
M.Sc Chemistry(organic Chemistry)
M.Sc Physics
M.Sc Applied Genetics
M.Sc Nursing
M.S.W
M.Ed
M.B.A
M.C.A
B.Sc Biotechnology
B.Sc Micro Biology
B.Sc Computer Science
B.Sc Nursing
B.C.A
B.B.M
B.Com
B.A.(Journalism, English, Sociology)
B.Ed
D.Ed
G.N.M
P.U.C
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