Select. —Please choose an option—Mr.Ms.Mrs.
Name of the Applicant.
Date of Birth.
Gender. —Please choose an option—MaleFemaleTransgender
Marital Status.
Aadhaar No.
Place of Birth.
Nationality.
Religion.
Father’s Name.
Mother’s Name.
Contact Number (Father).
Blood Group.
Phone.
Mobile.
Email.
Program. G.N.MB.Sc (N)PB B.Sc (N)M.Sc (N)D. PharmacyParamedical
Permanent Address.
District.
State.
PIN.
Present Address.
