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Online Admission of Senior Resident.
PERSONAL INFO
Write your name as in the certificates
Fullname*
Surname*
Phone Number*
DATE OF BIRTH
GENDER *
Male
Female
Others
NATIONALITY
Select Nationality
Indian
Others
State
Select State
Andhra Pradesh
Telangana
Others
CASTE*
select category
OC
BC-A
BC-B
BC-C
BC-D
BC-E
SC
ST
Others
Selected Through*
select category
Physically Handicapped
Sports/NCC
Others / None
RELIGION
Hinduism
Christian
Islam
Sikhism
No Religion
NATIVE PLACE
BLOOD GROUP *
A+
A-
B+
B-
O+
O-
AB+
AB-
AADHAR NUMBER*
PERMANENT ADDRESS
ADMISSION INFO
YEAR OF ADMISSION *
2019-2020
2020-2021
2021-2022
2022-2023
2023-2024
COURSE *
Senior Resident
Selected Through
Choose One
State Quota
Central Quota
NEET PG RANK (All India Rank)
NEET PG STATE RANK (State Rank)
Allotment Number
MBBS college Name
MBBS University Name
MBBS Year Of Passing
MBBS Register Number
MBBS Permanent Medical Council Registration
MDMS college Name
MDMS University Name
MDMS Year Of Passing
PARENTS & GUARDIAN INFO
Father Name
Father email
Father Occupation
Father Phone
Mother name
Mother email
Mother Occupation
Mother Phone
Local Guardian Name
Local Guardian email
Guardian Occupation
Local Guardian Phone
STUDENT PHOTO
Please upload only passphoto, Only PNG, JPEG is allowed
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