Admission - Sanjana Paramedical College

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Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields) Courses / पाठ्यक्रम *

Medium Hindi/English*

( Full name as per the highest / latest qualification certificate or legal certificate ) Father's Name / पिता का नाम *

( Full Name As Per Educational/Legal Certificate ) Mother's Name / माता का नाम*

( Full Name As Per Educational/Legal Certificate ) Date of Birth / जन्म दिनांक (dd-Mon-yyyy)*

( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' ) Category / श्रेणी*

Gender / लिंग *

Address / पता*

Address for Correspondence with Post Office, District, Tehsil, State & Pin Code (Do not Repeat Name & Father Name) Pin Code / पिन कोड*

State / राज्य*

City / शहर *

Mobile Number / मोबाइल नंबर*

Alternate Mobile Number / वैकल्पिक मोबाइल नंबर*

Email / ईमेल*

Exam Mode / परीक्षा मोड*

Study Mode / अध्ययन मोड *

Center Code / केंद्र कोड*

Upload Photo / फोटो अपलोड करें*

This field should be left blank