Registration

NAME OF INSTITUTE *
ABHIGYAN INSTITUTE OF PHARMACYABHIGYAN INSTITUTE OF SKILL DEVELOPMENT AND TECHNOLOGY (PARAMEDICAL INSTITUTE)ABHIGYAN OPEN SCHOOLING

NAME OF AFFILIATED AND APPROVAL BOARD *
PCI & WBSCTVESDNCVRTBOSSEWBSCTVESD

APPLIED FOR *
Diploma in Pharmacy (D.Pharm.)Diploma in Medical Laboratory Technology (DMLT)Diploma in Hospital Management (DHM)Diploma in Physiotherapy Assistant (DPA)Nutrition Planner Associate (NAP)SecondaryHigher Secondary

STUDENT'S NAME (FULL NAME IN CAPITAL LETTER) *

FATHER'S NAME *

MOTHER'S NAME *

GUARDIAN'S NAME *

RELIGION *
HinduIslamChristianBuddhistJainismOther

GENDER *
MaleFemaleOthers

CATEGORY *
GENERALSCHEDULED CASTE(SC)SCHEDULED TRIBE(ST)OTHER BACKWARD CLASS (OBC)

STUDENT'S DATE OF BIRTH *

PHONE NO *

EMAIL ID *

AADHAR NO

PRESENT ADDRESS *

PERMANENT ADDRESS *

EXAMINATION
SecondaryHigher SecondaryGraduationOther

BOARD / UNIVERSITY

PASSING YEAR

TOTAL MARKS

MARKS OBTAINED

SUBJECTS

DIVISION / PERCENTAGE

ADMISSION STATUS *
SEAT BOOKEDADMITTED

PAYMENT MODE *
CASHONLINE

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