Note:Fields marked with (*) are mandatory and must be completed for the form to submit.
Write the aggregate percentage of all the years of graduation (Students whose final year result is awaited should write the aggregate percentage of previous years).
I will appear for DAT (Dhanvantary Admission Test)
I have appear for below mentioned Exam
When would be your likely month to attend GD/PI (Group Discussion/Personal Interview) at the SDCPGBM, Kimcampus?
Only applicable to candidates having 2 years work experience
  • I hereby certify that the above information provided by me is correct and, I understand that if the information is found to be incorrect or false, then I will be automatically debarred from the selection/admission process without any correspondence in this regard.I alsounder stand that the application/registration/shortlisting does not guarantee admission in the Institute. I accept the process of admission under taken by the Institute and I will a bide by the decision taken by the Institute authorities. I have checked the information carefully. I will, on admission, adhere to the rules and discipline of the Institute. I hold myself responsible for the dues and payment of fees.I confirm that there is no Criminal case file dagainstmeand will provide the necessary information a sand when required by the Institute.


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Bank Details:

Bank Name   ICICI Bank
 Branch Name   SURAT VARACHHA Branch
 Account No   058401004010
IFSC Code   ICIC0000584