Post Graduate course Application - Friday sessions in Homeopathy

Post Graduate course Application – Indian Graduates
Please Complete the following online application form.

Deposit:
 € 
Name:*
Date of Birth:
Adahar No:*
Gender:*
E-mail:*
Mobile No.:*
Address:*
City:*
District:*
Pin Code:*
State:*
Registration No:*


B.H.M.S. marks obtained from order of last to first:

Year (write years in order first to last separated by commas):*
%Obtained (write in order first to last separated by commas):*
Year of Passing (write in order first to last separated by commas):*
No. of Attempt (write in order first to last separated by commas):*


M.D. marks obtained from order of last to first:

MD. Year (write years in order first to last separated by commas):*
MD. %Obtained (write in order first to last separated by commas):*
MD. Year of Passing (write in order first to last separated by commas):*
MD. No. of Attempt (write in order first to last separated by commas):*
Please tick the box below to agree that you have read and understood this declaration

I hereby declare that the entries made by me in the Application Form are complete and true to the best of my knowledge, belief, and information. I hereby undertake to present the original documents for verification immediately upon demand by the concerned authorities of the Institute as and when asked for verification. I am aware if the information in the admission form is found wrong, then my admission in your school will be liable for cancellation.
Endorse and confirm the above declaration Box to tick
Note: The rights of Admission are completely reserved by the school.

Word Verification: