Admission Consultancy Form

Session

Institute

Applied For Admission Course

Candidate Personal Details

Candidate’s Name(Mr./Ms.)

Father's Name

Mother's Name

Gender

Male

Female

Date of Birth

Age on Dec 31, 2025

Category

Person with Locomotor Disability:

Yes

Aadhar Number

Permanent Address

Address

District

State

PIN Code

Mobile No. of Father

Mobile No. of Mother

Contact Number

Email Address

Educational Background

Exam

Board/ University

Passing Year

10th Intermediate

12th High school

Percentage of Marks in 12th Exam in PCB/PCBE:

Entrance Exam Information

Exam Appeared NEET (UG) RPVT

Application No.

Roll No.

Max. Marks

Marks Obtained

Rank

Aadhar Card (pdf) Required

Applicant Photo (jpg/png ) Required

Applicant Signature (jpg/png) Required

Payment Option

Fee Amount
2000

Payment Mode

Purpose of Consultation
I am submitting this form with the requisite consultation and registration fee of ₹2,000/- for guidance and assistance regarding the admission procedure for B.V.Sc & A.H. course. I understand that the amount is non-refundable and includes personal guidance, documentation support, and updates regarding counselling and admission.

Declaration
I hereby declare that the information furnished above is true and correct to the best of my knowledge. I understand that any misinformation may lead to cancellation of my registration.