Student Application

Avini Healthcare Academy

Student Application Form

Student Name

Date of Birth

Gender

Mobile Number

Address

School Name

10th Mark

12th Mark

Select Course Category

Academic Year

Parent Name

Parent Mobile

Occupation

I hereby declare that I have voluntarily applied for admission to Avini Healthcare Academy.

I confirm that all the information provided by me is true and correct.

I agree to abide by all rules and regulations.

I Agree