Online Admissions | BPNT Paramedical

Application Form

Student Name ^*

Father Name ^*

Mother Name ^*

Email Id ^*

Mobile Number ^*

Adhar Card No. ^*

Gender ^*

Choose Course Category ^*

Choose Course ^*

DOB ^*

Pincode ^*

Fee For this course ^*

Course Fee ^*
-

Prospectus Fee ^*
-

Admission Fee ^*
-

Exam Fee ^*
-

TOTAL FEE :

Complete Address ^*

Photograph ^*

Signature ^*

Aadhar Front ^*

Aadhar back ^*

Academic Details

S.No.	Examination Passed	Name of The Board / Institute	Passing Year	Obtained Marks	Max Marks	Percentage
1	High School ^*
2	Intermediate
3	Any Other

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