SIPTO
Affiliated to University of Kalyani
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Enquiry Form
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Course:
Certificate in Community Medical Service & Essential Drug
Certificate in Sanitary Inspection
Diploma in Critical Care Technology
Diploma in Dental Technique & Oral Hygiene
Diploma in Dialysis Technician
Diploma in Electrocardiography Technique & P.F.T
Diploma in Medical Laboratory Technique
Diploma in Medical Radiology Technique
Diploma in Operation Theatre Technology
Diploma in Optometry Science & Opthalmic Technique
Diploma in Physiotherapy Technique
Post Graduate Diploma in Hospital Management
Pre Optometry and Pre Technology
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Admission enquiry Form
Course Applied For *
--Select Course--
Diploma in Optometry Science & Opthalmic Technique
Diploma in Medical Laboratory Technique
Diploma in Medical Radiology Technique
Diploma in Physiotherapy Technique
Diploma in Operation Theatre Technology
Diploma in Dental Technique & Oral Hygiene
Diploma in Critical Care Technology
Post Graduate Diploma in Hospital Management
Diploma in Electrocardiography Technique & P.F.T
Diploma in Dialysis Technician
Certificate in Community Medical Service & Essential Drug
Certificate in Sanitary Inspection
Pre Optometry and Pre Technology
PERSONAL INFORMATION
Student's/Candidate Name *
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Date of Birth
Blood Group
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B-
O+
O-
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GEN
SC
ST
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Contact Number (Parent)
Local Guardian Name (If Any)
Local Guardian Contact Number
Email ID
ACADEMIC INFORMATION
OTHER INFORMATION
Availing Hostel Facilities *
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Total Distance from Home to Institute (Km)
Any Other Information Candidate Wishes to Share
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