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
*
:
Select
Male
Female
Transgender
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
*
:
Select
Yes
No
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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