Follow Us:
Tajpur Gandhi chauk Samastipur Bihar -848130
gangesmedicalcentre@gmail.com
+91-9572050625
Home
About
Gallery
Photo Gallery
Video Gallery
Courses
Academic
Application Form
Teachers
Contact
Apply Now
Application Form
Home
Application form
Application Form
Basic Information
First Name
Last Name
Program Type
Choose Program Type
Program Type 01
Program Type 02
Program Type 03
Degree Level
Choose Degree Level
Degree Level 01
Degree Level 02
Degree Level 03
Student Photo
Your Photo Must be in Passport (PP) Size. Max Upload Size 1MB.
Upload Passport or Birth Document
Upload File Must Be Zip File. Max Upload Size 1MB.
Personal Information
Father's Name
Mother's Name
Contact Number
Email Address
Present Address
Date Of Birth
National ID Or Passport ID
Gender
Choose Gender
Male
Female
Others
Student Type
Choose Student Type
Student Type 01
Student Type 02
Student Type 03
Submit Application