COURSE FEE DETAILS
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AFFILIATION FEE
CENTRAL/REGIONAL OFFICE
AFFILIATION NORMS
CLINIC RESEARCH
HONORABLE COURT ORDER
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Course*    
Name of the Candidate* Email*
Father's Name* Mother's Name*
Date of Birth*
Month Day Year
     
   
Phone Nos.*    
Address* Postal Address*
Educational Qualification*
S. No. Exam Passed Year Percentage Board/University
1 %
2 %
3 %
4 %
5 %
Nationality
Marital Status*    
Category*      
Place    
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