Admission Consultancy Form

Session

Institute

Applied For Admission Course

Candidate’s Name(Mr./Ms.)

Father's Name

Mother's Name

Gender MaleFemale

Date of Birth

Age on Dec 31, 2025

Category

Person with Locomotor Disability: YesNo

Aadhar Number

Address

District

State

PIN Code

Mobile No. of Father

Mobile No. of Mother

Contact Number

Email Address

Exam

Board/ University

Passing Year

10th Intermediate

12th High school

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

Exam Appeared NEET (UG) RPVT

Application No.

Roll No.

Max. Marks

Marks Obtained

Rank

Aadhar Card (pdf)

Applicant Photo (jpg/png )

Applicant Signature (jpg/png)

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.