ADMISSION coUNSELLING Form
Student Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Phone Number
*
Please enter a valid phone number.
Whatsapp Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
City
District
Postal / Zip Code
Taluk
*
Application for Admission Information
Course Applied For
*
Please Select
Engineering (B.E/B.Tech)
Arts and Science
Medicine (MBBS/BDS)
Business and Management (BBA/MBA)
Law (LLB)
Pharmaceutical courses
Allied health science
High School Education
Name of High School you studied
*
Year of passing
*
Place of schools
*
Submit
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