Admission Form

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Student Name*

Student Image*

Mother's Name*

Mother's Occupation*

Father's Name*

Father's Occupation*

Class For Admission*

Nationality*

Aadhar No.*

Category*

Caste*

Date of Birth*

Date of Birth in Word*

Gender*

Correspondence Address*

Pin*

Permanent Address*

Pin*

Email Id*

Parent/Guardian Phone/Mobile No.*

Alternate Mobile No.*

Class	Board	Marks	Percentage	Year of Passing
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I here by declare that all the above statements are true to the best of my knowledge and belief and I promise that I will not be found indulged in any kind of activities which is against the rules and norms of the College.

Signature of Student*

Signature of Guardian*

Document required:
i) Original SLC
ii) Mark Sheet of className 10th & 12th
iii) Admit Card of className 10th & 12th
iv) Migration Certificate (For Board other than CBSE)
v) Pcs. of passport size photograph
This candidate is found fit for admission to Course

Empowering future healthcare leaders through innovative courses, experienced faculty, and state-of-the-art facilities.

Courses

Useful Links

Contact Info

Phone number

8986323341, 9570360232

Email Address

mithilanchalparamedicalcollege@gmail.com

Office Address

Barheta Road, Near Laheriasarai Jail, Darbhanga 846001