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DIMS | Registration Form ( 2021 )
Date:
Form No:
Course applying for:
Select Course
B.Sc. in Agriculture ( 4 years )
Bachelor of Ayurveda Medicine & Surgery ( 5 Years )
Bachelor of Physiotherapy ( 4 Years )
Bachelor in Medical Lab Technology ( 3.5 Years )
B.Sc. in Medical Radiology & Imaging Technology ( 3 Years )
B.Sc. Nursing ( 4 Years )
G.N.M Nursing ( 3 Years )
BBA ( 3 Years )
BCA ( 3 Years )
BBA ( 4 Years )
Post Basic Nursing ( 2 Years )
Full Name
Gender
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Male
Female
Phone Number ( Do not add +91)
Email
Father's Name:
Mother's Name:
Date of Birth
Religion:
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Hindu
Muslim
Sikh
Christian
Jain
Parsi
Budhism
Category
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ST
SC
OBC
General
Blood Group:
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AB-
AB+
B-
B+
A-
A+
O-
O+
Full Permanent Address:
Present Address:
10th Marks:
Year of Passing:
School/College:
Board:
Maximum marks obtained:
Number of Subjects:
Percentage/CGPA:
12th Marks:
Year of Passing:
School/College:
University/Board:
Maximum marks obtained:
Number of Subjects:
Percentage/CGPA:
Upload Documents:
Passport Photo: ( Max. size: 2MB )
12'th Marksheet: ( Max. size: 2MB )
10'th Marksheet: ( Max. size: 2MB )
Signature: ( Max. size: 2MB )
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