Academy Admission — Sri Dhanalakshmi Paramedical Institute

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Personal Information

Basic details about the applicant

Full Name *

Date of Birth *

Gender *

Blood Group

Phone *

Email

Permanent Address *

Father's / Guardian Name

Guardian Phone

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Your program and qualification details

Program Applying For *

10th Standard

School Name

Board

Year & Percentage

12th Standard (Higher Secondary)

School / College Name

Subjects

Year & Percentage

For Post-Basic Applicants

GNM Passed Year

Paramedical Council Reg. No.

Additional Notes / Special Requests

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Please verify all details before submitting

⚠️ By submitting this form you confirm all information is accurate. You will be redirected to complete fee payment after submission.

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Your application has been received. Please complete fee payment to confirm your admission.

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