State Alied And Healthcare Council of India

Registration Form

Enrollment No. *

Registration No. *

Center *

Course *

Name Of Applicant *

Father Name/ Gaurdian's Name *

Mother Name

Date Of Birth *

Permanent Address *

Phone No. *

Registration Date *

Training Period *

Upload Photo *

Exam Body *

I hereby certify that particulars furnished above are correct. I under take to abide by the rules laid by instructions. I promise to obey & follow all the rules and regulation in structured in prospectus.

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