Admission Open

Student Name *

Student Phone No *

Student Email *

Gender *
FemaleMale

Date of Birth *

Marital Status *
SingleMarried

Category *
GeneralSCSTOBC

Course Applied For *
Diploma in Operation Theater TechnologyDiploma in Medical Laboratory TechnologyDiploma in Radiology & Imaging TechnologyDiploma in X-Ray TechnologyDiploma in Cardiac Care TechnologyDiploma in Dialysis TechnologyDiploma in Hospital ManagementB.Sc in Operation Theater TechnologyB.Sc in Medical Laboratory TechnologyB.Sc in Radiology & Imaging TechnologyB.Sc in Cardiac Care TechnologyB.Sc in NeuroscienceB.Sc in AnaesthesiaB.Sc in Hospital Management

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Last Qualification with Marks Obtained *

Hostel Facility Required *
YesNo

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