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DETAILS FOR PG ADMISSION (PRIVATE COLLEGE)
Nodal Center-
Dr RAM MANOHAR LOHIA INSTITUTE OF MEDICAL SCIENCES, LUCKNOW, U.P.
ALL DETAILS TO BE FILLED IN CAPITAL LETTERS
* Indicates required question
Email
*
Your email
Candidate Name
*
* NO INITIALS ALLOWED
Your answer
Father's Name
*
Your answer
Category
*
UR
OBC
SC
ST
Phone number
*
Your answer
Aadhar Number
*
Your answer
Allotted Category
*
UR
OBC
SC
ST
Course Name
*
Your answer
College Name
*
Hind Barabanki
Hind Sitapur
Mayo Barabaki
Chandra Dental College
BBD Lucknow
Required
Subject / Speciality
*
Your answer
All India Rank
*
Your answer
State Rank
*
Your answer
NEET Roll No.
*
Your answer
Round
*
1
2
Mop Up
Other:
Demand Draft No
*
Your answer
Bank Name & Branch
*
Your answer
IFSC Code
*
Your answer
DD Amount
*
Your answer
DD Date
*
Your answer
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