T.S.MISRA Medical College & Hospital
Amausi, Lucknow, ( U. P. ) India Pin - 226008
Honorable Shri
T.S.Misra
Admission Enquiry Form
Student Name
Date Of Birth
Gender
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Male
female
Year Of Passing 10
th
Percentage In 10
th
Board 10
th
Language 10
th
--Please Select--
Hindi
English
Year Of Passing 12
th
Percentage In 12
th
Board 12
th
Language 12
th
--Please Select--
Hindi
English
Neet RollNo
Rank
Percentage
Percentile
Nationality
Contact No.
Category
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Gen
Obc
SC
ST
Email ID
Student Address
Father Name
Father Occupation
Father Address
Father Contact Number
Mother Name
Mother Occupation
Mother Contact Number
Mother Address
Query