CONTACT US: +91 4885- 289991

  • For any corrections and clarifications in the application, please mail to admissions.psmdc@gmail.com

* Attention!! Candidates are requested to enter all the data in the application form.


APPLICATION FORM BDS FOR THE YEAR

Note: Maximum allowed image size is 500KB


Neet Roll No :
Neet Rank :
Neet Percentile Code :
Neet Mark :
Name of applicant :
Father´s / Husband´s Name :
Sex :
Male Female
Date of Birth & Age :
Aadhar No :
Religion ( With sub class ) :
Whether you belons to any
Reservation category
( Kindly give details )
:
SC ST OBC SEBC BPL OTHERS NA
Nationality :
Mother Tonge :
Permanent Address :
Address for Communication :
Eligibility for BDS :
+2 B Sc
Board of Examination :

Details of Qualifying Examination [ Half Yearly 12th Exam Mark Sheet ]
Subject Maximum Marks Marks Obtained
English
Second Language
Physics
Chemistry
Biology
Mathematics
(Please attach the attested copies of statements of marks)
Name & Address of the Institution last studied         [ Higher Secondary ] :
Quota in which you seek admission :
NRI Management Government
Keam details of admission :
Keam rank and keam rollno :
Category In which candidate got admission              [ Community With Any ] :
Tution fee remitted or not  
Yes No
Whether the candidate appeared for
Medical Entrance test
:
Yes No
Authority which entrance test conducted :
State National
Details of entrance test :

Application Fee Details
Amount DD Number Date Name of Bank Name of Branch
DECLARATION
I do here-by declare that, I have gone throughthe instructions for admission carefully and I undeertake to abide the rules and regulations of the Institution at present in force or that may hereafter be made for the administration of the college and hostel. So long as I am a student of the college, I will not do anything unworthy to a student. I am aware that tha management is the sole authority to expel me for disinterest in studies, misbehavior and continues failure in exams.
   I accept the Declaration.