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Admission Form
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Name of the Candidate
*
Father's Name
*
Mother's Name
*
Date of Birth
Gender
Gender :
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Category
Category
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ST
SC
BC
SBC
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PH
EX-Servicemen
Aadhar Number
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Father's Contact Number
Mother's Contact Number
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Nationality
*
Examination
Year of passing
Board / University
Percentage(%)
Subjects
Course
Collage
Maa Kalawati Hospital & Research Center
Tribal College Of Nursing, Ranchi, Jharkhand
YBN University, Ranchi, Jharkhand
Maa Kalawati Homoeopathic Medical College & Hospital
Maa kalawati institute Of Health Education & Research Center
School of Pharmacy, Rajaulatu
School of Pharmacy, Kawali
YBN School of Pharmacy
Registration Fee *
Mode of Payment *
Select:
Online Payment
Deposit Date *
Student Signature
(Uplaod jpg, jpeg Signature)*
Declaration by the Applicant
I hereby declare that entries made by me in this admission form and the documents submitted by me along with it, are true to the best of my knowledge, in all respects and in any case, if any information is found to be false, this shall entail automatic cancellation of my admission and forfeiture of all fee deposited, besides rendering me liable to such action as the University may deem proper. I take note that my admission to the University and continuation on its roll are subject to the provisions of rules of the University, issued from time to time. I shall abide by the rules of discipline and proper conduct. I am fully aware of the law regarding ragging as well as the punishment and that if, found guilty on this account I am liable to be punished appropriately. I hereby undertake that I shall not indulge in any act of ragging. In such circumstances, I will have no claim for refund of fees deposited by me the University.
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