Language
English (UK)
Indira Gandhi Siksha Niketan
Application form for Admission
Courses
*
Please Select
Diploma of Biochemic System of Medicine(DMBS)
Bachelor of Biochemic System of Medicine(BMBS)
Student Photo
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Educational Qualification
*
Browse Files
Drag and drop files here
Choose a file
Documents Should be Self Attested By Blue Pen.
Cancel
of
Identity proof+ Date of Birth Proof (Aadhaar/ Votar Card)
*
Browse Files
Drag and drop files here
Choose a file
Documents Should be Self Attested By Blue Pen.
Cancel
of
Back
Next
Name of Student:
*
First Name
Middle Name
Last Name
Father's Name:
*
First Name
Middle Name
Last Name
Mother's Name:
*
First Name
Middle Name
Last Name
Birth Date
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
January
February
March
April
May
June
July
August
September
October
November
December
Month
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Religion:
*
Permanent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Present Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
WhatsApp Number
Mobile Number
*
Declaration 1
*
I will never share my Study Materials (Digital Study Materials/ Books/Notes) with anyone. I will use my Study Materials only for my own studies.
Declaration 2
*
I know about my course and fees details very well. I will pay the full fees at proper time.
Declaration 3
*
I am always obliged to abide by the rules & regulations of this institution. My candidature will be cancelled if I disobey Institutional Rules & Regulation.
Declaration 4
*
I know this institute (Indira Gandhi Siksha Niketan) very well. I wish to get admission in the institute in my own responsibility. I shall never claim for Admission Fees or any other fees as refund or transferable.
Signature
Clear
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform