Admission Form
Student Name*
Student Aadhar No.
Father Name*
Mother Name*
Contact No*
Email id *
Gender*
Male
Female
Category*
---Category---
GENERAL
NA
OBC
SC
SCBC
ST
Application for class*
---Application for class---
ANM 1ST YEAR
ANM 2ND YEAR
BSC 1ST YEAR
BSC. 2ND YEAR
BSC. 3RD YEAR
BSC. 4TH YEAR
GNM 1ST YEAR
GNM 2ND YEAR
GNM 3RD YEAR
INTENSIVE CLASS
City*
Pincode*
Address*
Remarks*
Fee Amount :
0.00
