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Admission Form

Bishakha Academy of Health Science

66/3031, Mahanadi Vihar,
Cuttack-753004, Odisha
REGISTRATION FORM

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Instruction:

  • Candidate should read the Rules & Regulations before filling the form.
  • Incomplete form will not be entertained.
* Mandatory
  • Name*
  • Father's Name*
  • Occupation*
    Sex*
    Male Female
  • Date of Birth*
    Category*
  • Mobile*
    Email Id*
  • Name and address of the local guadian*
  • Course to which intend to take admission*
  • Educational Qualification
    Class Board/University Year of Passing % of Marks
    8th
    10th
    +2
    +3
    Others
  • Present Address*
    Permanent Postal Address*

Addmission Open
2022-23

Click here to apply now