Student Registration (Outdoor) – ALL INDIA INTITUTE OF PARAMEDICAL SCIENCES

Student Registration

Course applied for *

Select Center *

First Name *

Middle Name

Last Name

Father's Name *

Mother's Name

Date of birth *

Mobile No. *

Gender *

Address *

State *

District *

Religion

Caste

Adhar Number

Examination Session *

Matric Details

Board

Subjects (Comma Separated) *

Passing Year *

Percentage *

Intermediate Details

Board

Subjects (Comma Separated) *

Passing Year *

Percentage *

Upload image * (size must be greater than 4kb and less than 1mb, Dimension of Photo 3.5 cm (width)x 4.5 cm (Height) only and extension must be .jpg, .png,.pdf or .jpeg)

"I hereby declare that the information provided in this registration form is true and correct to the best of my knowledge. I understand that any false information or misrepresentation may result in the cancellation of my registration or disqualification from the program. I also acknowledge that I have read and agree to the terms and conditions, including the refund policy (if applicable) and privacy guidelines, provided by the institution. By submitting this form, I accept full responsibility for the accuracy of the details and compliance with the instructions mentioned."