Registration for PG Diploma Nano Bio Technology

Name

Address

Father's Name

Mother's Name

Date of Birth

Email

Contact Number

Nationality

10th Standard Percentage

12th Standard percentage

Degree Percentage

Highest Qualification (if any)

Address of Degree college studied

DECLARATION I hereby declare that all the particulars stated in this application form are true and correct to the best of my knowledge and belief. I have read and understood all provisions of admissions and agree to abide them. In the event of submission of fraudulent, incorrect or untrue information or suppression or distortion of any fact like educational qualification, marks, nationality etc., I understand that my admission is liable for cancellation without any compensation. I further understand that my admission is purely provisional subject to the verification of the eligibility conditions. Further I shall abide and bound to obey the norms and standards set by the institution.