PARAMEDICAL COLLEGE, DURGAPUR

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COURSE: *

AVAILING HOSTEL FACILITIES: *

PERSONAL INFORMATION

CANDIDATE'S NAME *

DATE OF BIRTH *

GENDER *

CATEGORY *

BLOOD GROUP

NATIONALITY *

MARITAL STATUS *

FAMILY INFORMATION

FATHER'S NAME *

FATHER'S OCCUPATION *

FATHER'S CONTACT NO. (+91) *

MOTHER'S NAME *

MOTHER'S OCCUPATION

MOTHER'S CONTACT NO. (+91)

FAMILY INCOME (ANNUAL) *

LOCAL GUARDIAN (IF ANY) (OPTIONAL)

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ADDRESS (OPTIONAL)

CONTACT INFORMATION

CANDIDATE'S CONTACT NO. (+91) *

CANDIDATE'S CONTACT EMAIL *

PERMANENT ADDRESS *

STATE *

PIN *

PRESENT ADDRESS *

STATE *

PIN *

ACADEMIC INFORMATION

QUALIFICATION *

MAJOR SUBJECTS *

BOARD / UNIVERSITY *

PASSING YEAR *

PERCENTAGE *

QUALIFICATION (OPTIONAL)

MAJOR SUBJECTS

BOARD / UNIVERSITY

PASSING YEAR

PERCENTAGE

QUALIFICATION (OPTIONAL)

MAJOR SUBJECTS

BOARD / UNIVERSITY

PASSING YEAR

PERCENTAGE

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WHAT BROUGHT YOU TO PARAMEDICAL COLLEGE, DURGAPUR?

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I hereby declare that the information given by me in the Application is true, complete and correct to the best of my knowledge and belief. *

Institute of Paramedical and Therapeutic Sciences and Technology

Hellen Keller Sarani, (Opposite of NHAI Complex)

Sector - 2A, Bidhannagar, Durgapur 713212, West Bengal, INDIA

Application Form

PERSONAL INFORMATION

FAMILY INFORMATION

CONTACT INFORMATION

ACADEMIC INFORMATION

OTHER INFORMATION

DOCUMENTS

Institute of Paramedical and Therapeutic Sciences and Technology

Hellen Keller Sarani, (Opposite of NHAI Complex)

Sector - 2A, Bidhannagar, Durgapur 713212, West Bengal, INDIA

Application Form

PERSONAL INFORMATION

FAMILY INFORMATION

CONTACT INFORMATION

ACADEMIC INFORMATION

OTHER INFORMATION

DOCUMENTS

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