Online Registration for MBBS/BDS Courses 2018-19
(NEET Qualified Candidate)
HI-TECH MEDICAL COLLEGE & HOSPITAL, BHUBANESWAR
HI-TECH MEDICAL COLLEGE & HOSPITAL, ROURKELA
HI-TECH DENTAL COLLEGE & HOSPITAL, BHUBANESWAR
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PERSONAL DETAILS
Full Name of the Applicant :
Name of Father :
Photo :
File type must be gif / jpeg. File size should be between 40kb to 50kb.
Date of Birth :  
Gender : Male FeMale
Category :
COMMUNICATION DETAILS
Mailing Address Permanent : Maximum 200 characters
Mailing Address Correspondence : Maximum 200 characters
Country :
State :
PIN :
Mobile Number :
Phone Number :
     
COURSES
Course :
CHOICES
1st Choice :
2nd Choice :
3rd Choice :
ACCADEMIC DETAILS
Name of the Examination Name of the Institute/Board Year of Passing Subject Studied % of Mark
HSE/ 10th
+2 Science or Equivalent
NEET-2018 DETAILS
NEET Roll No. :
Rank Details Overall Rank Category Rank Category-PH Rank
NEET All India Rank

Declaration by the candidate :
I hereby declare that, the particulars stated in this application are true to the best of my knowledge and belief.