Online Registration Condidate Full Name * Father's Name * Mother's Name * Mobile Number * Alternate Mobile Number E-Mail ID * Address * State * District * PIN Code * DOB * Gender * Select Gender Male Female Previous Institute Name * Passing Month and Year * Final Year Roll Number * Applied Institute Name * Course Name * Select Course Diploma In Accident & Emergency Technician CMS and ED Diploma In General Duty Assistant Diploma In Hospital Administration Diploma In Hospital Waste Management Diploma In Medical Equipment Technician Diploma In Nutrition & Dietetics Diploma In Nursing Assistant Diploma In Orthopedic Assistant Diploma In Old Care Age Diploma In Pharmacy Assistant Diploma In Rural Healthcare Assistant Diploma In Vision Technician Diploma in Physiotherapy