Course Admission Application Form Please fill in this form and submit, our academic counsellors will contact you and assist you through the admission process. Course ApplicationSelect the Course of Your InterestCourses - Select -OET - Occupational English TestIELTS - International English Language Testing SystemNCLEX - National Council Licensure ExaminationHAAD - Health Authority of Abu Dhabi ExaminationDHA - Dubai Health Authority ExaminationMOH - Ministry of Health Examination UAEOET GrammarEnglish GrammarSpoken EnglishApplicant Personal InformationFirst Name Last Name Sex - Select -MaleFemaleDate of Birth Age Blood Group - Select -A RhD positive (A+)A RhD negative (A-)B RhD positive (B+)B RhD negative (B-)O RhD positive (O+)O RhD negative (O-)AB RhD positive (AB+)AB RhD negative (AB-)Place of Birth Present Residing State - Select State-KeralaAndaman & Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChattisgarhDadra & Nagar HaveliDaman & DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu & KashmirJharkhandKarnatakaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPondicherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest BengalNationality - Select -IndiaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsMother Tongue - Select -AssameseBengaliEnglishGujaratiHindiKannadaMalayalamMarathiOdiaPunjabiTamilTeluguUrduResidence Status - Select -Resident IndiaNon-Resident IndianForeign NationalMarital Status - Select -SingleMarriedDivorcedWidowedReligion Cast Category - Select -SCSTOECOBCGeneralOtherParent / Guardian DetailsFatherName Occupation Annual Income Phone Home / Office Mobile Number Email MotherName Occupation Annual Income Phone Home / Office Mobile Number Email GuardianName Occupation Annual Income Phone Home / Office Mobile Number Email Contact DetailsPermanent Address Present Address Academic Information Plus 2 / Equivalent School Studied Board of Exam Passed out year Attempts - Select -123Marks ScoredSubject 1Subject 1 Percentage 1 Marks 1 Subject 2Subject 2 Percentage 2 Marks 2 Subject 3Subject 3 Percentage 3 Marks 3 Subject 4Subject 4 Percentage 4 Marks 4 Subject 5Subject 5 Percentage 5 Marks 5 Subject 6Subject 6 Percentage 6 Marks 6 Submit Form
