APPLICATION FORM
Application for Online Health Informatics Certification Course……
PERSONAL INFORMATION
Salutation: First Name: Last Name:
Gender:   DOB:
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EDUCATION
Examination Board / University Subjects Year Division/ Grade %of marks CGPA grade
Other Qualification:
CURRENT STATUS
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PAYMENT FORM

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DECLARATION FORM

I hereby declare that the above information is correct and I am aware that my admission is liable to be cancelled at any time in case any information is found to be incorrect. I have gone through and understood the Rules, Regulation and Instruction of the Entrance Test and Admission Procedure.
 

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