Online Application for BSMS NRI Seats : (2020-2021)

Online Application Form for BSMS NRI Seats : (2020-2021)
   Fields marked * are mandatory.
Application No: : 001
Application Date: : 08-03-2021 11:41:21 PM
Student Name* :
Category* :
Gender* :       Age* :       Date of Birth* :
Religion* :   Caste/Community* :
Nationality* :
Name of Father/Mother/Guardian* :
Occupation & Annual Income
of Father/Mother*
Address for Correspondence* :
Mobile No* :   Land Line
Address for Local Guardian* :
Mobile No* :   Land Line
Permanent Address** :
Mobile No* :   Land Line
NEET Roll No* :   Score* :    Rank No* :
KEAM Roll No :   Score  :    Rank No   :
Qualification* :
Name of Exam* :
Year of Passing* :
Name of the Institution* :
Name of the University/Board* :
Percentage of Marks Obtained* : PCB % : %   Biology % : %
Name of the NRI Sponsor* :
Relationship of Applicant with Sponsor* :
Reference Name* :    Mobile No :*
Reference Address* :
Languages Known -      Language 1* : Read Write Speak
                                  Language 2* : Read Write Speak
                                  Language 3 : Read Write Speak
Passport Size Photo (160 X 188px) * :
Signature (200 X 120px) * :
Whether Hostel Facility required* :

Declaration* : I do hereby declare that all details made in this application are true to the best of the knowledge. I do hereby promise, if admitted to abide by the rules and regulations of this institution, I will not take part in any activities, which hamper the interest of the Institution, and the decision of the authorities will be final and binding on me.
Place* :
Date* :
Upload Supporting Documents
*All Supporting Scanned Documents Attached should be Jpg,Jpeg,Bmp,Gif or Pdf Format(Max Size 2 MB)
a) Relationship Certificate : * :
b) Overseas Employment Certificate attested by the Embassy/Consulate :* :
c) Passport with Visa Stamped : * :
d) Sworn Affidavit in the Prescribed Format :* :
e) Indian Citizen/Origin Certificate : * :
f) SSLC/SSC Certificate :* :
g) Plus 2 Mark List : * :
h) Plus 2 Pass Certificate :* :
i) NEET Score Card :* :
j) Migration Certificate :* :
k) Health Fitness Certificate:* :
l)Transfer Certificate:* :
m) Conduct Certificate :* :

a)   Passport Copy should be attested by the Embassy or Consulate.
b)   Visa/Green Card/OCI documents of their respective sponsors. The job of the sponsor should be mentioned in any of the above documents. In case the employment of the sponsor is not mentioned in the above documents, the candidate has to produce the employment certificate of the sponsor attested by the Embassy/Consulate authorities. The Visa of the sponsor should be valid till the closing date of the admission. If the validity of the Visa has expired the copy of the document, online acknowledgement seeking extension of Visa should be produced. Visa copy is to be attested by Embassy or Consulate.
c)   Certificates issued by the Embassy/Consulate stating that the sponsor is an Overseas Citizen of India or the Green Card documents shall be accepted in lieu of the overseas employment Certificate issued by the employer and attested by the Embassy.
d)   Sworn affidavit notarized by the Notary Public, as per the rules and regulations prevailing in the respective countries, where the sponsor is presently working. In case the sponsor is already in India the affidavit shall be notarized by any of the Notary Public in a stamp paper worth Rs.200/- in the prescribed format..
e)   The certificate clearly establishing the relationship of the sponsor with the candidate obtained from Revenue authorities as per GO(Ms) No. 243/14/H & FWD dtd. 06.08.2014. Note: Relationship between the candidate and his or her father/mother which are recorded in educational certificate shall be accepted. .
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