Application for Allied Health Sciences & Physiotherapy Courses

Online Application form- Physiotherapy-2

Personal Information

CANDIDATE’S FULL NAME:

First Name

Middle Name

Last Name

Date of Birth: (DD/MM/YYYY)

Gender

Place of Birth City/Town

District

State

Nationality

Mother Tongue

Religion

Category/ Quota claimed

Caste Certificate No

Income Certificate RD Number

Annual Income

Contact Information: Permanent Address

House Number

Street Name

Pincode

City

State

Country

Correspondence address is same as permanent address

Yes

Correspondence Address: (if different from permanent address)

House Number

Street Name

Pincode

City

State

Country

Educational Qualifications

Class-wise Details from Class 10^th and Class 12^th

10th Standard

Name and Address of the School

College/School Type:

Board of Examination

Year of Passing

12th Standard

Name and Address of the College

College/School Type:

Board of Examination

Year of Passing

Stream: Science

Subjects Taken:

Total Max. Marks:

Total Marks Obtained:

Total Max. Marks in PCB:

Total PCB Marks Obtained:

Total PCB Percentage:

Aggregate Percentage:

Max.Marks in English

Marks Secured in English

Parent/Guardian Information

Parent

Guardian Information

Father’s Name

Father’s Occupation

Father's Mail

Father’s Annual Income

Father Mobile Number

Mother’s Name

Mother’s Occupation

Mother’s Annual Income

Guardian’s Name:

Relationship to Candidate:

Guardian’s Mobile Number

Guardian's Email ID

Additional Information for NRI/Foreign Candidates. Are you an NRI?

Yes

NRI/Foreign Status

Are you applying as an NRI?

Are you applying as a Foreign National?

Country of Residence: (for NRI/Foreign candidates), Residential Address in Home Country:

House Number/Street:

Pincode

City

State

Country

Passport Details

Passport Number

Issuing Country

Expiry Date

Visa Status: (if applicable)

Visa Type

Visa Number

Valid Until

Documents Upload Section

Recent Passport-sized Photograph: (Specifications: JPEG format, size limit)

Choose File

Signature: (digital upload or scanned; specifications apply)

Choose File

Required Documents

12th/PUC Marks Card (scanned copy)

Choose File

SSLC/10th Marks Card (scanned copy)

Choose File

Caste Certificate (if applicable; scanned copy)

Choose File

Income Certificate (if applicable; scanned copy)

Choose File

Transfer Certificate from previous institution (if applicable; scanned copy)

Choose File

Proof of Identity (Aadhar card, Passport, or other ID)

Choose File

NRI/Foreign Certificate (if applicable; proof of NRI status, etc.)

Choose File

Any other relevant documents as specified by institution

Choose File

I hereby declare that the information furnished above is true to the best of my knowledge and belief. I understand that any false information may lead to disqualification.

Signature of the Applicant: (Digital or Handwritten)

Choose File

Date of Declaration: (DD/MM/YYYY)

I confirm that I have read all the instructions and guidelines for the application and agree to abide by them.

Important Notes:

- Candidates should provide accurate and consistent information across all sections, especially in the case of NRI and Foreign candidates.

- Ensure that document uploads meet the specified formats and size limits as instructed on the Vydehi website.

Personal Information

Educational Qualifications

10th Standard

12th Standard

Country of Residence: (for NRI/Foreign candidates), Residential Address in Home Country:

Documents Upload Section

Required Documents

Quick Links

Related Resources

Vydehi Group of Institutions