Admission Enquiery :
+91 9743700020
tapovanamedicalcollege@gmail.com
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Admission Enquiry Form 2024-25
Basic Information:
Name of the Student (As per 10th Marks Card)
Father Name
Father Occupation
Date of Birth
Age (in years)
Nationality & State of domicile
CET Rank
Sex
Select Gender
Male
Female
Other
Blood Group
Select Blood Group
A+
A-
B+
B-
AB+
AB-
o+
o-
Email ID
Student Mobile Number
Parents Mobile Number
Religion & Caste / sub caste
Aadhar Number
Address
Educational Information:
SSLC Details:
Reg.No
Date of passing
Maximum Marks
Marks Scored
Total %
Numbering of Attempts
P U C / (10 +2) Details:
Reg.No
Date of passing
Maximum Marks
Marks Scored
Total %
Numbering of Attempts
Total marks secured in Physics, Chemistry, Biology
Physics
Chemistry
Biology
Total
Total Percentage of the Optional Subjects (Physics, Chemistry, Biology)
Physics
Chemistry
Biology
Total
Name of the institution where the Qualifying Examination completed
Name of the Board / University
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