DD - 36, Sector - I, Salt Lake, Kolkata - 700 064
Phone No. : (033) 2334 2028 / 2321 5389
Application Form
1. *Course applying for:
2. *Reservation:
--Select--
General
SC
ST
PC
OBC (for NIOH only)
3. *Nationality:
--Select--
Indian
Others
4. *Applicant's Name:
5. *Permanent Address:
*District:
*State:
*Pin Code:
E-Mail:
Telephone no:
6. *Address for Communication:
7. *Date of Birth (mm/dd/yyyy):
8. *Qualification:
--Select--
BOT
B.Sc (OT)
9. *Year of Passing:
10. *Name of Institution:
11. *Name of University:
12. *University Registration No.:
13. *Year of Registration:
