Apply Online For BUMS Course

1.Upload Image:

2.First Name of the applicant:

3. Mother's Name of the applicant:

4.Surname or Father's Name of the applicant:

5.Last Name of the applicant:

6.Gender of the applicant:

Male Female

7. Date of Birth of the applicant:

8.Citizenship of the applicant:

9. State of Permanent Residence of the applicant:

10.Permanent Address of the applicant:

11. Present Address (Address of Communication)
of the applicant:

12.The applicant's Community:

13.Seeking Admission in ----------- Category:

14.Contact Telephone Number of the applicant, mother/father/guardian:

a) STD Code - Telephone Number

(b) Mobile Number

15.Course undergone by the applicant at Plus Two, HSE or equivalent:

16. Name and Address of the Educational Institution (Qualifying Examination - HSE or equivalent) last attended by the applicant:

17.Marks obtained by the applicant at National Eligibility Cum Entrance Test (UG-2023),
Central Board of Secondary Education,from the total of 720 marks:

18.Percentage of marks obtained by the applicant at Qualifying Examination (HSE or equivalent):
(Numerical only- Rounding off to the nearest numeral)

19.Has the applicant studied physics,chemistry
and biology in higher secondary/ equivalent to it:

Yes No

20.Percentage of marks obtained at Qualifying Examination (higher secondary/equivalent) in Biology,Physics and Chemistry by the applicant: (Numerical only- Rounding off to the nearest numeral)

21.Course undergone at Secondary Level by the applicant:

22.Percentage of marks obtained at SSLC (or equivalent) by the applicant:
(Numerical only- Rounding off to the nearest numeral)

23.Quota applying for:

24.Upload Signature:

The details provided in the application are true to the best of my knowledge

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