Online Application for BSMS Management Quota(2018-2019)

Online Application for BSMS Management Quota(2018-2019) (Part I)
   Fields marked * are mandatory.
Student Name* :
Gender* :   Age* :   Date of Birth* :
Religion* :   Caste* :
Nationality* :
Name of Parent or Guardian* :
Occupation of the Parent* :
Address* :
Mobile No* :
NEET Score* :   Roll No* :   Rank No* :
KEAM Score :   Roll No :   Rank No :
Marks in Plus 2* : Total Marks :   Total % : %   PCB Marks :   PCB % : %
Name of the Institution/
College Studied*
:
Year of Passing Plus 2* :
Whether Hostel Facility required* :

Declaration* : I do hereby declare that all statements made in this application are correct.
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* :
  

Scanned Copies of the following Documents for Management Eligibility are to be Uploaded after submitting Application.
a)   KEAM Rank/Score Sheet
b)   NEET Score Card
c)   Migration Certificate (as applicable)
d)   Transfer Certificate
e)   Conduct Certificate
f)   Health Fitness Certificate (as applicable)
g)   Plus 2 Mark Sheet
h)   Plus 2 Certificate
i)   SSLC/SSC Certificate
j)   Passport Size Photo
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