PG ADMISSION COMMITTEE, GOA
ADMISSION IN POST-GRADUATE COURSES IN AYURVEDA
Email ID: ayupgadm.goa@gmail.com | Contact No.: 08322956394
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Application for Admission to M.D. for the Academic Year 2024-25
Admission Main Page
Step 1 - Submit Form
Subject
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Kayachikitsa
Rasashastra and Bhaishajya Kalpana
Candidate’s First Name
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Candidate’s Middle Name
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Candidate’s Last Name
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Date of Birth
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Gender
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Male
Female
Other
Marital Status
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Married
Unmarried
Other
Religion:
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Category
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General
SC
ST
OBC
Other
Nationality
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Indian
NRI
Foriegner
Address Line 1
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Address Line 2
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Country
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
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Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo Democratic Republic of
Congo Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
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El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvin
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
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Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia The Former Yugoslav
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia Federated States o
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanma
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia (French)
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Polynesia (French)
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadin
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sa
Spain
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Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
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Turks and Caicos Islands
Tuvalu
UAE
Uganda
UK
Ukraine
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City (Holy See)
Venezuela
Vietnam
Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Yugoslavia Federal Republic o
Zambia
Zimbabwe
State
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District
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City/Town/Village
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Pincode
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Details of the Qualifying Examination passed:
Name of the Qualifying Examination passed
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Month & Year of Passing (NEET-AIAPGET)
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Total Marks obtained in Qualifying Examination (NEET)
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Details of B.A.M.S.
Name of College & University
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Date of completion of Internship
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University Seat No.
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Total Marks obtained in Final Examination & percentage
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Annual Family Income from all sources
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Aadhar Card No.
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Mobile Number of the Candidate
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Mobile Number of the Parent
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Email
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Submit to Proceed