Andhra Medical College - Visakhapatnam

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+91 891 2561157 | amc_vsp@nic.in

Online Admission of Paramedical Diploma

PERSONAL INFO

Write your name as in the certificates

FULL NAME*

SURNAME*

PHONE NUMBER*

EMAIL ADDRESS*

DATE OF BIRTH

GENDER *

NATIONALITY

STATE

RELIGION

CASTE*

SELECTED THROUGH*

NATIVE PLACE

BLOOD GROUP *

AADHAR NUMBER*

PERMANENT ADDRESS

ADMISSION INFO

YEAR OF ADMISSION *

COURSE *

Syllabus last studied *

Allotment Number

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

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