PREETHI INSTITUTE OF MEDICAL SCIENCES & RESEARCH

APPLICATION FORM FOR ALLIED HEALTH SCIENCE COURSE

Instructions

  1. Details are to be filled in BLOCK LETTERS and in the candidate's own handwriting, neatly and legibly. The form should be complete in all respects.
  2. Please do not enclose any original testimonials along with the form.
  3. Please enclose photo copies of mark sheets & certificates.
  4. All certificates and mark sheets (original) should be produced only at the time of admission.

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Personal Details

Qualification Details (with reference of HSC Certificates)

HSC Marks

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Did you reappear for HSC? (if "Yes" Give Details)

Personal identification marks

  • I have read all the Terms and Conditions and accept the same.