K D Institute of Medical Science, Admission Open

ADMISSION CUM REGISTRATION FORM

Applied Course *

Duration

Registration Fee

Course Fee

Note: Currently we are charging only registration fees, Course Fees will be charged while admission.

Branch *

Seat

Session

Basic Informaion

Name of Applicant *

Father's Name *

Mother's Name *

Date of Birth *

Merital Status *

married unmarried

Sex

Male Female

Contact Number *

E-mail Address *

Whether hostel facility is required

Yes No

Aadhar Number *

Country *

State *

Address *

Pin code *

Exam Pass	Roll No. *	Year *	Board/ university *	Marks *	Result *
High School
Inter (10+2)

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