Management Quota Admission Form

1. Student Name*

2. Age*

3. Date of Birth*

4. Gender*

MaleFemaleTransgender

(Upload the X Std Certificate in the slot provided)

5. Email*

6. Nationality*

7. Marital Status*

8. Religion*

9. Community*

10. Name of Father/Guardian*

11. Occupation & Annual Income of Father*

12. Address for Correspondence*

Mobile:*

Landline :

13. Address for Local Guardian*

Mobile:*

Landline :

14. Permanent Address*

Mobile:*

Landline :

15. NEET RANK*

( Upload the NEET Score Card in the slot provided )

16. Qualification*

Name of the institution / College Studied*

Year of Passing*

Univ./Instn./Board*

Percentage of Marks Obtained

Percentage of mark obtained in BAMS*

Subject Selection - Salyatantra / Kayachikithsa*

17. Reference*

18. Languages Known*

ReadWriteSpeak

a) SSLC + BAMS + KSMC / TCMC + NEET in a single pdf.

b) Passport size photo.

I hereby declare that all information furnished above is true to the best of my knowledge. I promise to abide by the rules and regulations of the college.

Signature of the Parent*

Signature of the student*

Place :
Date :

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Management Quota Admission Form

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