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Application Form 2023-2024
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* Indicates required question
Name
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Required
Father Name
*
Your answer
Mother Name
*
Your answer
Qualification
*
10th
12th Pass
12th Fail
Other's
Required
Mobile Number
*
Your answer
Alternate Contact Number
*
Your answer
Address
*
Your answer
E-Mail
*
Your answer
Course's
*
Diploma in OT Technician
Diploma in Emergency Care Technician
Diploma in Physician Assistant
Diploma in Trauma Care ( Casuality )
Diploma in General Health Care & Maternity Assistant
Required
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