Admission Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please indicate for which course you wish to applyFour Year coursesB's anesthesiaB's surgicalB's radiologyB's pathology (MLT)B's Health2 years diploma courseAnesthesiaSurgicalRadiologyPathologyPharmacyDental1 year courseDiploma in information TechnologySTUDENT NAME *FATHER NAME *SELECTBOARDERDAY SCHOLARNATIONALITY *RELIGION *GENDER *DOMICILE *DATE OF BIRTHSTUDENT CONTACTFATHER CONTACTOTHERADDRESS1. CERTIFICATESSCBOARDTOTAL MARKSOBTAINED MARKSDIVISION & % AGEANNUAL / SUPPLY2. CERTIFICATEFSCBOARDTOTAL MARKSOBTAINED MARKSDIVISION & % AGEANNUAL / SUPPLYADMISSION NUMBERBATCH NUMBERSUBJECTSubmit
