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Application Form
1
Personal Details
2
Academic Details
3
Submit Documents
4
Fee Payment
5
Confirmation
PROGRAM SELECTION (Note: Program selection cannot be edited after submisson.)
Applying for Program
*
--Select--
MBBS
IT Education
Country
*
--Select--
China
India
University
*
--Select--
Select Bissav Branch
*
--Select--
Hajipur Branch
Patna Branch
PERSONAL INFORMATION
First Name
*
Last Name
Date of Birth
Passport
--Select--
Available
Applied for
Yet to apply
Passport No
Passport Expiry Date
Native Language
Place of Birth
Religion
Nationality
--Select--
Indian
Others
Category
--Select--
GEN
OBC
SC
ST
Other
Marital Status
--Select--
Married
Unmarried
Did you ever study in Abroad before?
--Select--
Yes
No
Country name
Foreign language study?
--Select--
Yes
No
Language name
Flat no./Building Name
Area
Street Name
City
Pin code
Country
Contact Information
Mobile Number 1
*
Mobile Number 2
Email ID
*
Whatsapp Number
Parents Information
Father Name
Father Age
Father Mobile No
Mother Name
Mother Age
Mother Mobile No
FINANCIAL INFORMATION
Father Occupation
--Select--
Working
Self Employed
Retired
Other
Education Loan required?
Yes
No
Filing ITR / Provide Form 16?
Yes
No
Anual Income
Mother Occupation
--Select--
Working
Self Employed
Retired
Other
Education Loan required?
Yes
No
Filing ITR / Provide Form 16?
Yes
No
Anual Income