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Poornayu Ayurved Chikitsalaya Evam Anusandhan Vidyapeeth (Girls College), Mob - 6262000455, 9988591407
ADMISSION FOR SESSION 2023-24
This form is for your information only. Admission will be conducted through NCISM counselling only.
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CANDIDATE NAME:
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DATE OF BIRTH:
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MM
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DD
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YYYY
DOMICILE
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MADHYA PRADESH
OTHER
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FATHER’S NAME:
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MOTHER’S NAME:
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NEET ROLL NO-
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NEET SCORE:
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NEET PERCENTILE:
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NEET RANK:
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12TH PERCENTAGE (PCB)
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CATEGORY/CLASS:
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OPEN
SC
ST
OBC
EWS
PH
ADDRESS:
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MOBILE NO:
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AADHAR NO.:
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FAMILY INCOME:
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GAP CERTIFICATE:
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