COLLEGE APPLY FORM

Reg No. S/8901190(New Delhi) - Since: 2013
LARGEST GROUP OF AYUSH & PARAMEDICAL COURSE OF INDIA

Franchise Type of*

Your College/Institute Name *

Applicant Name *

Father's/Husband Name *

Age *

Gender *

Phone *

Corresponding Address *

Pincode *

City *

State

Tie up Hospital Name *

Tie up Hospital Address *

Photo *

Image should be PNG or JPG or JPEG and clear photo

Signature of Applicant Image *

Image should be PNG or JPG or JPEG

Address Proof Image*

Image should be PNG or JPG or JPEG

Decleration Image*

Image should be PNG or JPG or JPEG

Franchise - Fee: 1,00,000 Rs