Student Admission/Enroll Form Enroll STUDENT ENROLL Name Name First First Last Last Radio Buttons Male Female Others Father’s Name Father's Name First First Last Last Monther’s Name Monther's Name First First Last Last Phone Email Address Aadhar Card No.Any other Govt. DocumentsLast Qualification Details Aadhar Card Number Other Govt. ID SelectPANDriving LicenseVoter ID Number Qualification 8th or VIII10th or Secondary12th or Higher SecondaryCertificateDiplomaGraduationPG DiplomaMasters Number Select Course -Select-PhlebotomistECGOperation Theatre TechnicianCertificate in Central Sterile Supply Department (C-CSSD)Diploma in Central Sterile Supply Department (D-CSSD)Certificate in Medical Laboratory Technician (CMLT)Diploma in Medical Laboratory Technician (DMLT)Bachelors in Medical Laboratory Technician (BMLT)Certificate in Physiotherapy Assistant (APT)Diploma in Physiotherapy Assistant (DPT)Bachelors in Physiotherapy Assistant (BPT)Masters in Physiotherapy Assistant (MPT)X-Ray TechnicianRadiologyCommunity Medical Service & Essential Drugs (CMS-ED)Auxiliary Nurse Midwifery (ANM)Vision Technician Submit If you are human, leave this field blank. Δ