Online Application for BAMS Management Seats : (2019-2020)

Online Application Form for BAMS Management Seats : (2019-2020)
   Fields marked * are mandatory.
Application No: : 009
Application Date: : 21-09-2019
Student Name* :
Gender* :       Age* :       Date of Birth* :
Religion* :   Caste/Community* :
Nationality* :
Name of Father/Mother/Guardian* :
Occupation & Annual Income
of Father/Mother*
:
Address for Correspondence* :
Mobile No* :   Land Line
Address for Local Guardian* :
Mobile No* :   Land Line
Permanent Address** :
Mobile No* :   Land Line
NEET Roll No* :   Score* :    Rank No* :
KEAM Roll No :   Score  :    Rank No   :
Qualification* :
Name of Exam* :
Year of Passing* :
Name of the Institution* :
Name of the University/Board* :
Percentage of Marks Obtained* : PCB % : %   Biology % : %
Reference Name* :    Mobile No :*
Reference Address* :
Languages Known -      Language 1* : Read Write Speak
                                  Language 2* : Read Write Speak
                                  Language 3 : Read Write Speak
Passport Size Photo (160 X 188px) * :
Signature (200 X 120px) * :
Whether Hostel Facility required* :

Declaration* : I do hereby declare that all statements made in this application are correct.
I do hereby promise, if admitted to abide by the rules and regulations of this institution, I will not take part in any activities, which hamper the interest of the Institution, and the decision of the authorities will be final and binding on me.
Place* :
Date* :
Upload Supporting Documents
*All Supporting Scanned Documents Attached should be Jpg,Jpeg,Bmp,Gif or Pdf Format(Max Size 2 MB)
a) SSLC/SSC Certificate :* :
b) Plus 2 Mark List : * :
c) Plus 2 Pass Certificate :* :
d) NEET Score Card :* :
e) Migration Certificate :* :
f) Health Fitness Certificate:* :
g)Transfer Certificate:* :
h) Conduct Certificate :* :

Instructions Regarding Scanned Copies of Supporting Documents for Upload for Management Eligibility.
a)   SSLC/SSC Certificate.
b)   Plus 2 Mark List.
c)   Plus 2 Pass Certificate.
d)   NEET Score Card.
e)   Migration Certificate.
f)   Health Fitness Certificate.
g)   Transfer Certificate.
h)   Conduct Certificate.
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