DETAILS FOR PG ADMISSION
Dr RAM MANOHAR LOHIA INSTITUTE OF MEDICAL SCIENCES, LUCKNOW, U.P.
Disclaimer by the candidate-
1-The data I have filled in this form is correct to the best of my knowledge.
2-I accept that these details may be used for Enrolment at University & other purposes like Digilocker if I continue at RMLIMS Lucknow.
Email *
CANDIDATE NAME
 *
NO INITIALS ALLOWED
FATHER'S NAME
 *
MOTHER'S NAME
 *
DATE OF BIRTH *
GENDER *
RELIGION
 *
  CATEGORY *
MOBILE NO. *
AADHAR NO. *
PERMANENT ADDRESS *
ALLOTTED CATEGORY
 *
EWS
 *
PHYSICALLY DISABLED
 *
PMHS
 *
COURSE NAME *
SUBJECT/SPECIALITY *
NAME OF ENTRANCE EXAM *
ALL INDIA RANK *
STATE RANK (FOR STATE QUOTA CANDIDATES)
NEET ROLL NO. *
ROUND *
A copy of your responses will be emailed to the address you provided.
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