KLE Academy of Higher Education and Research, Belagavi
Accredited 'A' Grade by NAAC (2nd Cycle) Placed in Category 'A' by MHRD (GoI)
Online Application form for Ayush Courses (Preference Form for BAMS,BHMS) :
COURSE / CATEGORY
Course :
BHMS(Homoeopathic)
BHMS(Homoeopathic)
Category :
SELECT
GENERAL
NRI
NEET Roll Number :
All India NEET Rank Number :
PERSONAL INFORMATION
Name of the Candidate :
Gender
Male
Female
Birth Date :
Religion :
Select your Relgion
Hindu
Muslim
Christen
Jain
Buddist
Shikh
Parsis
Other
Caste :
Aadhaar Number :
COMMUNICATION INFORMATION
Address :
City :
Pin :
District :
State :
SELECT
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
STD Code :
Telephone :
(Enter 0, if no Telephone No.)
Mobile :
Email Address :
ACADEMIC DETAILS 10th & 12th Standard
Month/Year of Passing SSLC/SSC/ 10th :
/
Percentage in SSLC/SSC/ 10th :
Month / Year of Passing PUC II / HSC / 12th/:
/
Percentage in PCB :
Percentage in 12th / HSC / PUC :
Name of the Board :
UPLOAD PHOTO AND SIGN
Upload Photo
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Upload NEET Rank Card
(PDF FORMAT AND MAXIMUM SIZE 500KB) ------>
DECLARATION
1.
I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled.
2.
If admitted to any of the constituent units of KLE Academy of Higher Education & Reserach, Belagavi. I shall abide by its Rules and Regulations.
3.
I am aware that, any legal matters arising out of the total admission process of any Course through KAHER-2018 will be in the courts of Belagavi.
The candidate should cross check all the details filled in the online application, before finally submitting the same, as no correction will be possible later
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