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Basic Details

NOTE: Candidates must be cautious while filling up Registration details. Your candidature may get cancelled in case incorrect/ wrong information is furnished.

PG Registration No

Year

NET Qualified

PAT2023 Qualified

Select Course^★

Select faculty^★

Select Department^★

Candidate Name

Father Name

Mother Name

Date of Birth (DD/MM/YYYY) ^★

Date of Birth should be same as mentioned in Matriculation Certificate

Gender

Category Name

Religion^★

Nationality

If you are Ex-Servicemen /(यदि आप पूर्व-सेवा मैन हैं)?

yes

If you are NCC Candidate/(यदि आप एनसीसी कैंडिडेट हैं)?

yes

If you are sports candidate/(यदि आप खेल उम्मीदवार हैं)?

yes

If you are belong to Ward /(यदि आप कर्मचारियों के हैं)?

yes

BloodGroup^★

Any Disabilities

Marital Status

Aadhar No.

Type of ID ^★

Correspondence Address

State

City

Copy Address

Permanent Address

State

City

Mobile

Identification Mark

ID Proof Number

ID Date (DD/MM/YYYY) ^★

Date of Birth should be same as mentioned in Matriculation Certificate

DEPARTMENTAL CANDIDATE

HAVE YOU ALREADY JOINED ANY 100 BEDED HOSPITAL FOR PRACTICE

WHETHER SEEKING AGE RELAXATION? ^★

Yes No

DO YOU HAVE ANY EXPERIENCE ^★

Yes No

EXAMINATION CENTER 1 [PREFERENCE 1] ^★

if for any reason selected test city can not be alloted to the candidate due to any reason then other city will be alloted

EXAMINATION CENTER 2 [PREFERENCE 2] ^★

if for any reason selected test city can not be alloted to the candidate due to any reason then other city will be alloted

EXAMINATION CENTER 3 [PREFERENCE 3] ^★

if for any reason selected test city can not be alloted to the candidate due to any reason then other city will be alloted

State Domicile

District Domicile

HAVE YOU MIGRATED FROM THE STATE/ UT OF YOUR ORIGIN TO ANOTHER STATE/ UT ^★