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ADMISSION FORM FOR VALUE ADDED COURSE IN KSHARSUTRA PREPARATION 2021-22
DESIGNED BY SHALYATANTRA DEPARTMENT, LRP AYURVED MEDICAL COLLEGE, ISLAMPUR
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Email
*
Your email
Full Name of Student
*
Your answer
Father’s Name
*
Your answer
Residential Address
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Class
*
FIRST YEAR
SECOND YEAR
THIRD YEAR
FINAL YEAR
PRE MD/MS
FINAL MD/MS
PhD
Category
*
OPEN
OBC
NT
SC
ST
OTHERS
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