Apply For Registration – Para Medical Faculty of India

0522-2424213 [email protected]

Apply For Registration

Registration Form

Name of Student

Father's / Husband's Name

Gender

Date of Birth

Country Code

Mobile Number

Email

Street Address

City or Town

Postal Code

State

Country

Select of Course Name

Name of Institute

Passed Year

Enclosed Here with :
(i) A copy of my birth certificate/Matriculation/Secondary Certificate/Secondary School Leaving Certificate.
(ii) Attested copies of certificate of the Diploma and Certificate corses as required.

Attach Your Photo

file : jpeg, png, gif and size max. 1mb

Attach Your Signature

file : jpeg, png, gif and size max. 1mb

Attach Your Address/ID Proof

file : jpeg, png, gif and size max. 1mb

Attach Qualification's Dacuments

file : jpeg, png, gif and size max. 1mb

Attach Payment Receipt

file : jpeg, png, gif and size max. 1mb

Message

Accept I agree

I agree with the Constitutional rules and by-laws of the Faculty and respect its ethics and principals. I certify that all the particulars furnished above, are true to the best of my knowledge and belief. I understand that my candidature is liable to be cancelled if my documents or any activities proves misleading and affects the good will of the Faculty.

नोट:- फॉर्म भरने के बाद , हमे इस नंबर पर सम्पर्क करे- 09044717779

Para Medical Faculty of India

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