Ayurved University Gujarat Jamnagar

Application for admission in the Course

Form No.

Name of the Applicant (Block Letters)

Permanent Home Address

Mobile

Date of Birth (DD-MM-YYYY)

Nationality

Gender

Male Female

Passport No.

Issued From

Expected date of arrival in India (DD-MM-YYYY)

Valid Upto

Qualification in Ayurved

Whether self supporting or scholarship holder

Academic Qualifications

Medical Qualifications

Experience in practice

Do you need hostel accommodation

Yes No

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Gujarat Ayurved University, Jamnagar