Online Form Submission & Fees Payment for Deploma in OT And Cardic Technician

* Indicates Compulsory fields
Applied Course Name *
Applicant's Name *
Applicant's Mobile No. *
Father's Name *
Mother's Name *
Father's Mobile No. *
Email *
Gender *
Male   Female
Date of Birth *
age should be 17 years as on 06/25/2018
age should be in DD/MM/YYYY Formate
Permanent Address *



State:
City:
Pin Code:
Correspondance Address *
Same As Permanent Address




State:
City:
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Category *
 
EDUCATIONAL QUALIFICATION
High School Percentage will be Filled Automatically Accoring to Your Obtain Mark in High School
Intermediate Max. Mark, Obtain Mark, Percentage will be Filled Automatically According to Your Marks in Each Subject
S.No Examination Name Year Roll No. Board Maximum Marks Obtained Marks Percentage
1. High School
2. Intermediate
Intermediate Subject Name Maximum Mark Obtain Mark