Pg – SN Ayurveda

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. AIAPGET*

( Upload the AIAPGET Score Card in the slot provided )

16. KEAM*

17. Marks obtained in BAMS*

18. Name of the Institution/College Studied*

19. Year of Passing the Qualifying Exam*

20. University & Reg No:*

21. Subject Selection Salyatantra*

SalyathantraKayachikithsa

22. Hobbies

23. Reference*

24. Language Known*

ReadWriteSpeak

a) AIAPGET Score Card + BAMS Degree Certificate + TCMC Registration Certificate + SSLC Certificate 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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