PNPS Ayurveda Medical College

Online Application for BAMS Management Seats : 2023-24

Online Application Form for BAMS NRI Seats : 2023-24 (Part I)

ID:PNPSAMC-4

Date : 12-09-2024

Fields marked * are mandatory.

Student Name *

Gender*

Age* : Date of Birth* :

Religion*

Caste* :

Nationality*

Marital Status* :

Name of Parent or Guardian*

Occupation and Annual Income of the Parent*

Address for Correspondence*

Mobile No*

Address of Local Guardian*

Mobile No*

Permanent Address*

Mobile No*

Email*

Category*

NEET Score*

Neet Percentage Score* : Neet Mark* :
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*

Hobbies*

Languages known*

Language	Read	Write	Speak
	Read	Write	Speak

a) Passport Size Photo (Image file with .jpg extension, File size less than 2MB) * :

b) Signature of Student (Image file with .jpg extension, File size less than 2MB)* :

c) SSLC/SSC Certificate (Pdf file having file size less than 2MB)* :

d) Plus 2 Mark List (Pdf file having file size less than 2MB)* :

e) Plus 2 Pass Certificate (Pdf file having file size less than 2MB)* :

f) NEET Score Card (Pdf file having file size less than 2MB)* :

g) KEEM Score Card (Pdf file having file size less than 2MB)* :

Declaration*	:	I do hereby declare that all statements made in this application are true to the best of my knowledge and belief. 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*	:

College Admission