Al shifa college of paramedical sciences

Course applied for*

DMLT (Diploma in Medical Laboratory Technology)
DRT (Diploma in Radiological Techniques)
DOTT (Diploma in Operation Theatre Technology)

Name of the Applicant*

Expansion of Initial(s)

Age and Date of Birth*

Sex*

Male : Female:

Marital Status*

Caste and Religion

Name of the Parent/Guardian/Spouse

Occupation of the Parent/Guardian/Spouse

Annual Income

Aadhar No.*

Nationality

E-mail*

Mobile/Telephone*

Address for Communication*

Permanent Address*

Address of the Parent/Guardian/Spouse

Are you physically Handicaped

Yes : No:

Do you need Hostel Accommodation*

Yes : No:

Reg .No./Month/Year *

School/College *

Board /University *

Upload your Photo *

Application form