KVV - KAIET 2025-26 - Application Form For Admission To B. Sc. Nursing, B. P. Th., B Pharmacy, Pharm D., B. Sc. Medical Imaging Technology, B. Sc. Perfusion Technology, B. Sc. Cardiac Care, B. Sc. Neurophysiology Technology

Application Form For Admission To B. Sc. Nursing, B. P. Th., B Pharmacy, Pharm D., B. Sc. Medical Imaging Technology, B. Sc. Perfusion Technology, B. Sc. Cardiac Care, B. Sc. Neurophysiology Technology 2025-2026

Candidate Name (As Given in Class 12th Certificate):

Date of Birth:

Sex:

Category:

Religion :

Cast :

Permanent Address:

Pin code :

Candidate's Photo :

Signature of the candidate. :

E-Mail (if any) :

Mobile No:

STD Code:

Telephone:

Academic Details:

Year Of Passing SSC/10th std:

Name of The Board of Qualifying Exam : (12 th /HSC/or Equivalent):

Marks/Grade Obtained In The Qualifying Examination:
If Results are not declaired enter 0 (zero)

	Physics	Chemistry	Biology	Maths	English
Maximum Marks
Minimum Passing Marks
Marks Obtained

Admission preferred for:

Preference-1:

Preference-2:

Preference-3:

Name & address of the College from which candidate has passed(12th std):

Name And Address of Parent/Guardian ::

Declaration-I:

a) 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.
b) If admitted to this Instruction I shall abide by its rules and regulations.
C) I have read and understood all the provisions contained in the brochure and here by agree to abide by these provisions.

Declaration-II

a) I the parent/guardian of the applicant hereby declare that I am aware of the financial obligation of admitting my child/ward to KVV, Karad. I agree to pay the tuition and other fees payble to endorse the declaration made above by my child/ward.
b) If admitted to this Instruction I shall abide by its rules and regulations.
C) I have read and understood all the provisions contained in the brochure and here by agree to abide by these provisions.

Instruction

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