Student Registration Form for BUMS Course | Eram Unani Medical College

Student Registration Form for BUMS Course

Student Registration Details

Form No

Date

Personal Details

Applicant's Name *

Father’s Name *

Mother’s Name *

Gender *

Date of Birth *

Category *

Parent's / Guardian's Occupation *

Applicant's Photo *

JPG/PNG only, max 2 MB.

Permanent Address *

Contact Details

Student’s Mobile Number *

Parent's / Guardian's Mobile Number *

Alternate Mobile Number

Email ID *

NEET Details

NEET Qualifying Year *

NEET Score (In Numbers)

Upload NEET Score Card

Upload NEET Admit Card *

Class 12th Details

12th Percentage (All Subject) *

12th Passing Year *

12th Physics Marks *

12th Chemistry Marks *

12th Biology Marks *

Upload Class 12th Marksheet & Certificate *

Class 10th Details

10th Percentage (All Subjects) *

10th Passing Year *

Upload Class 10th Marksheet & Certificate *

Reference Details (If Any)

Do you know anyone associated with the college?

Yes No

Name of the Person

Relation with College

Course / Department

Designation

Contact Number

Security Verification

Captcha *

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