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Faculty of Medical Science and Health
Application Form for Admission to Certificate in Yogic Science (2021)
PERSONAL INFORMATION
Student Name
*
Date of Birth
*
Day
01
02
03
04
05
06
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08
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10
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30
31
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Father's Name
*
Mother's Name
*
Grand Father's Name
*
Address for Correspondance
*
City
*
State
*
Select State
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
NEPAL
ODISHA (ORISSA)
PUDUCHERRY (PONDICHERRY)
PUNJAB
RAJASTHAN
SIKKIM
TALANGANA
TAMIL NADU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
Pin
*
Mobile
*
Category
*
Select Category
101-GENERAL
102-SC
103-ST
104-OBC
105-GEN PWD OH (Orthoy)
106-GEN PWD VH (Visually)
107-GEN PWD HH (Hearing)
108-SC PWD OH (Orthopedically)
109-SC PWD VH (Visually)
110-SC PWD HH (Hearing)
111-ST PWD OH (Orthopedically)
112-ST PWD VH (Visually)
113-ST PWD HH (Hearing)
114-OBC PWD OH (Orthopedically)
115-OBC PWD VH (Visually)
116-OBC PWD HH (Hearing)
119-KASHMIRI Migrants
120-NRI Sponsored
121-Foreign Students
122-STAFF WARD
123-EWS
Email Id
*
Minority
*
501 Hindu
502 Muslim
503 Sikh
504 Cristian
505 Parsi
506 Buddhism
Gender
*
M
F
T
Nationality
*
Indian
Nepal
Bhutan
Russia
America
ACADEMIC DETAILS
S.No.
Examination Passed
Board
Year of Paasing
Total Marks
Marks Obtained
%
1.
High School
Select
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
2.
Inter Mediate
Select
2020
2019
2018
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
Registration No.
(If already Registered)