Applicant Name

Gender
--SELECT-- Male Female

Date of Birth

Category
--SELECT-- SC ST OBC GEN

Guardian Name

Guardian Mobile Number

Applicant Mobile Number

Email-Id

City
--SELECT-- Bhubaneswar Cuttack Raurkela

Choose Your Admission Process
--SELECT-- Online Offline

Course Applied For
--SELECT-- DMLT DMRT BSc Nursing D.Pharam GNM

Select Your Campus
--SELECT-- Bhubaneswar Bhadrak Keonjhar Malkangiri

Address

10th Matriculation Certificate

+2 Science Provisional Certificate

+2 Science Marksheet Certificate

Cast Certification

Resident Certification

Income Certification

CLC

Aadhar Card

Candidate Photo

Select your Amount
--SELECT-- 500 1000 5000

Payment Mode
--SELECT-- Paytm Phonepay Gpay Net Banking

Payment Details

Any Other Documents

Referred by
--SELECT-- Social Media Google Reference

Others