APPLICATION FORM FOR ADMISSION IN Diploma in Laboratory Technology
Session: 2022-23

Read all instructions carefully before filling the Admission Form.
Personal Details.

(as mentioned in the High School/Class 10th certificate)*

File size of photograph and signature should be less than 200kb in JPG format only. Photograph must be recent and Applicant face should be clearly visible.
Educational Qualifications*
Are you currently appearing in the Intermediate Examination of session 2021-22? *   
Exams Passed Board / University Regular/ Private Year Div Roll No. Max Marks Marks Obtained
High School or Equivalent
Intermediate or Equivalent

NOTE: If information provided by the candidate is found to be incorrect/manipulated/false at any point of time, his/her admission will be cancelled with immediate effect and legal action may also be initiated.

Bank Details* (In Case of fee refund, money will be transferred in this account only.)
Note: Each file must be in JPG/PDF format, with a file size of less than 200kb.
Mandatory Enclosures PDF of Aadhar with complete address *:
Combined Photograph of Parents (JPG format only) *
High School Documents File 1 *:
File 2 :
Intermediate Documents File 1 *:
File 2 :
Category Related Cerificates File 1 *:
File 2 :
File 3 :
Mobile Number & OTP *
OTP* : Click on Generate OTP to generate the OTP and enter in the below field. OTP shall be sent to both the entered mobile number and email address.