Application Form

Name of Course *

Candidate Name *

Gender *

Date of Birth *

Nationality *

Mobile Number *

Email *

State (Permanent) *

Pin Code *

Complete Postal Address *

Category *

Father's Occupation

Father's Name *

Father's Mobile No *

Mother's Name *

Class 10th Board Name *

Class 10th Percentage *

Class 12th Board Name *

Class 12th Percentage *

Class 12th Year of Passing *

Online Payment: You can pay online through Credit Cards,Debit Cards,Net Banking.
If any query regarding filling up the Application Form you may contact on +91- 9829038177 between 9:00 A.M. to 8:00 P.M.
Application form for UG Courses, Dr.B. Lal Institute of Biotechnology. Form Cost: Rs. 590/-

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