PERSONAL INFORMATION EDUCATION: DETAILS OF 10TH STANDARD (S.S.L.C) OR EQUIVALENT EXAM DETAILS OF 12TH STANDARD (INTERMEDIATE) OR EQUIVALENT EXAM UPLOAD YOUR DOCUMENT BELOW Passport Size Photograph* 10th Marks card* 12th Marks card* Aadhar card* Caste& Income certificate* COURSES Course Preference 1Diploma in Medical Laboratory TechnologyDiploma in Operation theatre and Anesthesia technologyDiploma in Health InspectorDiploma in Ophthalmology technologyDiploma in Medical Imaging technologyDiploma in Medical record technology Course Preference 2Diploma in Medical Laboratory TechnologyDiploma in Operation theatre and Anesthesia technologyDiploma in Health InspectorDiploma in Ophthalmology technologyDiploma in Medical Imaging technologyDiploma in Medical record technology Course Preference 3Diploma in Medical Laboratory TechnologyDiploma in Operation theatre and Anesthesia technologyDiploma in Health InspectorDiploma in Ophthalmology technologyDiploma in Medical Imaging technologyDiploma in Medical record technology Application Form Fees: Rs 50/- BANK DETAILS BANK NAME: BANK OF MAHARASHTRA A/C NAME: Shree Jagadguru Gavisiddheshwara Paramedical college A/C NO: 60378207453 IFSC CODE: MAHB0001857 BRANCH: KOPPAL Declaration by Candidate I solemnly declare that the above details and uploaded documents are true to the best of my knowledge and belief. I hereby agree to the terms and conditions and also confirm my consent to share my academic details with the institution for the further counseling process. If any information provided by me is found false/incorrect then the college authority has the right to cancel my application form. I also understand that application if accepted doesn’t imply the confirmation of my admission into the course and is subjected to further scrutiny.
