Student Registration

Name:

Father's Name:

Date of Birth:

Academic Session:

Email:

Mobile:

Eligibility Status

Academic Details

Degree:

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Course of Study:

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Subject:

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College ID :

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College Name :

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Basic Information

Category*:

Whether employed to any organization*:

Higher Secondary Marks Details

Subject	Total Marks	Obtained Marks	Marks (%)

Total Aggregate Marks*

I have sucessfully passed all the theoretical and practical papers individually in the following subjects - Physics,Chemistry and Biology .

Basic Details

Student Profile

Gender*

PWD*

Marital Status*

Nationality*

Religion*

Aadhar Card No/EPIC Card No.*

Mothers Name*

Permanent Address

Address 1*

City/Locality/Village*

Address 2*

Country*

State*

District*

PIN Code*

Correspondence Address : Click here if permanent address same as present address

Present Address

Address 1*

City/Locality/Village*

Address 2*

Country*

State*

District*

PIN Code*

Qualification

Previous Academic Qualification(S) Details(from H.S.(10+2) for U.G Degree)

Name of Examination.	Board/ University	Year of Passing	Roll No.	Total Marks	Marks Obtained	Marks%	Upload Marksheet if not available Self declaration	Upload Certificate

Upload scanned images of the following documents. Allowed Format:.pdf . File size must be greater than 40KB and less than 2048 KB

Break In Studies*

Yes

Whether Previously registered in The West Bengal University of Health Sciences ?*

Yes

WBUHS Registration No

N.B : Registration No should be 12 digit number, No character, space and special character allowed.

Whether previously registered to any other University ? *

Yes

Name of the Board / University

Qualifying Examination

NAME OF THE EXAMINATION	Rank

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Payment Details

Payable Amount

Fees Head	Amount
Total Amout

Registration Fees Already Paid. Please submit your Application.

I hereby declare that all the particulars stated in the application are true to the best of my knowledge and belief. If any of these information provided is found false/incorrect, I shall abide by the actions/decisions taken by the University.

I Agree.

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Processing Charges	:
Bank Charges	:
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