PG Admission (State Quota) (2025-26)

Candidate's Name (Block Letters) *

Gender *

Date of Birth (DD/MM/YYYY) *

Caste Category *

NEET PG Quota *

Date of Admission in PG *

PwD Status *

No

Yes

PwD Certificate No. & Issuing Authority *

Religion *

Nationality *

Candidate's Valid Mobile No. *

Candidate's Valid Email ID *

Hostel Accommodation *

Yes

No

Candidate's Aadhaar No. *

Candidate's Employment Status under Govt Service

Yes

No

Premises / Village / Road / Street, P.O + P.S *

City *

Pin Code *

Ward No./ Block *

Premises / Village / Road / Street, P.O + P.S *

City *

Pin Code *

Ward No./ Block *

Category Rank

Year of Medical Registration *

Passport Photo (Max 500KB) *

Signature (Max 500KB) *

Upgradation

Yes

No

Remarks (if any)

1. Candidate's Personal Details

a. Permanent Address

b. Present Address

c. Family Information

2. NEET PG-2025 Details

3. Academic Qualification Details

4. Upload Photo & Signature