Application Date Course Please selectBACHELOR OF PHYSIOTHERAPY(B.P.T) - 1000 INRBACHELOR OF PHYSIOTHERAPY(B.P.T) - NRIMASTER OF PHYSIOTHERAPY(M.P.T) - 1200 INR Full Name of the Applicant Email ID Date of Birth Gender Religion Caste Nativity House Name/Flat No. Street Name Location District City State Pin Address for Communication Nativity House Name/Flat No. Street Name Location District City State Pin Qualification Exam Year of Passing Obtained Marks in Eligible Examination Physics Obtained Maximum Marks Chemistry Obtained Maximum Marks Biology Obtained Maximum Marks Attachments Recent passport size photograph Payment slip Signature Mark List Only files with the following extensions shall be uploaded: jpg, png, jpeg, pdf, doc, docx Marklist Name Document I hereby declare that the above mentioned information are true to my knowledge
