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Institutions
Padmashree Institute of Physiotherapy
Padmashree Institute of Management & Sciences
Padmashree Institute of Medical Laboratory Technology
Padmashree School of Nursing
Padmashree Institute of Nursing
Padmashree College of Hospital Administration
Padmashree School of Public Health
Padmashree Institute of Clinical Research
Faculty
Contact Us
Apply now
080-28485206/07
Apply now
080-28485207
PGI HOME
Institutions
Padmashree Institute of Physiotherapy
Padmashree Institute of Management & Sciences
Padmashree Institute of Medical Laboratory Technology
Padmashree School of Nursing
Padmashree Institute of Nursing
Padmashree College of Hospital Administration
Padmashree School of Public Health
Padmashree Institute of Clinical Research
Faculty
Contact Us
Menu
PGI HOME
Institutions
Padmashree Institute of Physiotherapy
Padmashree Institute of Management & Sciences
Padmashree Institute of Medical Laboratory Technology
Padmashree School of Nursing
Padmashree Institute of Nursing
Padmashree College of Hospital Administration
Padmashree School of Public Health
Padmashree Institute of Clinical Research
Faculty
Contact Us
PGI HOME
Institutions
Padmashree Institute of Physiotherapy
Padmashree Institute of Management & Sciences
Padmashree Institute of Medical Laboratory Technology
Padmashree School of Nursing
Padmashree Institute of Nursing
Padmashree College of Hospital Administration
Padmashree School of Public Health
Padmashree Institute of Clinical Research
Faculty
Contact Us
Menu
PGI HOME
Institutions
Padmashree Institute of Physiotherapy
Padmashree Institute of Management & Sciences
Padmashree Institute of Medical Laboratory Technology
Padmashree School of Nursing
Padmashree Institute of Nursing
Padmashree College of Hospital Administration
Padmashree School of Public Health
Padmashree Institute of Clinical Research
Faculty
Contact Us
Apply now
080-28485206/07
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Application Form
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Application Form
Proposed Course
Bachelor in Physiotherapy
Master of Physiotherapy
Enter Your Officially Documented Name
IDCARD Photograph (Passport size)
Date Of Birth
Age
Gender
Male
Female
Other
Father Name
Mother Name
Religion
Nationality
Indian
NRI
Foreigner
Domicile Karnataka
Community
Blood Group
Address
This where all our correspondences & application template will be sent. Make sure you keep it up dated data. If any changes you may prompt us as early.
(E.g. Parents, Relatives – this address will be supportive in the event of inability to contact you at your main contact address).
Main Contact Address
Alternative Contact Address
Father's Mobile No
Mother's Mobile No
Email Address
Residence Address
City / Town:
Mobile No
Day Time Telephone
Email Address
WhatsApp Number
Please indicate the relationship With the Gurardian
Relative
Family Friend
Others
Previous Higher Education / Qualifying Examination
Name of the University
Name of the College
Obtained Degree
Marks Card in Qualifying Examination
Marks card Of Gratuation (All 3 years)
Transfer Certificate
Degree Certificate
Nationality Certificate (only of International Students)
Migration Certificate
Any Other
Student Declation
I agree to abide by the laws and regulations of the Padmashree Group of Institutions (PGI)
I acknowledge that if I am accepted for a course of the study I am liable to pay the fees for the full term and it will not be refunded under any circumstances
I am aware that 80% attendance is mandatory in all the subjects for a student to be eligible to appear for the University Examinations.
I acknowledge that I am aware about the payment of Hostel development Fund of Rs. 10,000/- which is nonrefundable.
I am aware that it is mandatory for all the students to stay in the hostel and agree to abide by this condition for the full tenure of my educational course at PGI
I am aware that consumption alcohol and smoking is prohibited in the college and hostel and I agree to abide by this condition failing which necessary disciplinary action can be taken against me.
I am aware that usage of two wheelers is not allowed in the college campus and in the hostel.
I hereby agree that I will not cause any damage to college and hostel property.
I accept that failure on my part to abide by this policy may lead to necessary disciplinary action and any related cost incurred by my actions will be recovered by me.
I am aware that delay in payment of the hostel fees attracts late fee (fine) until such time as I have paid the same.
I agree that it is an essential term of my agreement with PGI that information I have furnished in this form and any attached documents is true and complete and I acknowledge that PGI may suspend my enrolment if false information has been supplied or required information is not supplied by the due date.
Signature Of the Student
Date & Place
Father / Mothers / Guardian's Name
Send
Proposed Course
Bachelor in Physiotherapy
Master of Physiotherapy
Enter Your Officially Documented Name
Date Of Birth
Age
Gender
Male
Female
Other
Father Name
Mother Name
Nationality
Indian
NRI
Foreigner
Blood Group
Email Address
Mobile No
WhatsApp Number
Main Contact Address
Previous Higher Education / Qualifying Examination
Name of the University
Name of the College
Obtained Degree
Marks Card in Qualifying Examination
Marks card Of Gratuation (All 3 years)
Transfer Certificate
Degree Certificate
Nationality Certificate (only of International Students)
Migration Certificate
Any Other
Date & Place
Father / Mothers / Guardian's Name
I agree that it is an essential term of my agreement with PGI that information I have furnished in this form and any attached documents is true and complete and I acknowledge that PGI may suspend my enrolment if false information has been supplied or required information is not supplied by the due date.
Send
