GOVERNMENT OF KARNATAKA
DIRECTORATE OF MEDICAL EDUCATION
PARA MEDICAL BOARD

Lakshmi Complex, First Floor, # 5, New No.40/20 A, Opp Vani Vilas Hospital, Bangalore-560 002.
Phone : 080-26702159 www.pmbkarnataka.org

Online Application Form For Para Medical Board Counselling( 2022 )


Instructions to Compress Images
Please read the Information Brochure carefully before filling the Application form.
Enter the required details below and then click on the 'Submit' button on the bottom of the page.
Instructions for Approve Admitted candidates
Note : Fields Marked with an asterisk * are mandatory. View Sample Filled Screen            

Maximum Qualification*


Select Zone :*

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ಅಭ್ಯರ್ಥಿಯ ಹೆಸರು (ಎಸ್.ಎಸ್.ಎಲ್.ಸಿ ಅಂಕಪಟ್ಟಿಯಲ್ಲಿರುವಂತೆ)/ Name of the Candidate (As On Marks Card)*


ಅಭ್ಯರ್ಥಿಯ ಹೆಸರು (ಎಸ್.ಎಸ್.ಎಲ್.ಸಿ ಅಂಕಪಟ್ಟಿಯಲ್ಲಿರುವಂತೆ)/Name
(As On Marks Card)




ಜಾತಿ / Category *



ಜನ್ಮದಿನಾಂಕ
Date Of Birth
(dd/mm/yyyy) *




ವಯಸ್ಸು / Age



ಲಿಂಗ /Gender *



ಇ-ಮೇಲ್ ಐಡಿ / Email



ಸ್ಥಿರ ದೂರವಾಣಿ ಸಂಖ್ಯೆ / Primary Contact No.*



ಆದಾರ ಸಂಖ್ಯೆ / Adhar Number*


 
ಧರ್ಮ /Religion *






ತಂದೆಯ ಹೆಸರು / Father's Name *



ಮೊಬೈಲ್ ಸಂಖ್ಯೆ / Mobile No.*



ಕುಟುಂಬದ ವಾರ್ಷಿಕ ಆದಾಯ / Annual Income



ತಾಯಿಯ ಹೆಸರು/ Mother's Name *






ವಿಳಾಸ / Postal Address *


ಜಿಲ್ಲೆ / District*



ಅಂಚೆ ಸಂಖ್ಯೆ / Pincode*











ಖಾಯಂ ವಿಳಾಸ /Permanent Address*


ಜಿಲ್ಲೆ / District*


ಅಂಚೆ ಸಂಖ್ಯೆ /Pincode*



abc Note : PUC candidates, enter Physics + Chemistry + Biology Marks in Obtained Marks and Max Marks Space
* * * * * * *





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Note : Upload jpg / jpeg file

Candidate Photo*
(Less Than 50KB)

No Image
Candidate Signature*
(Less Than 20KB)

No Image
SSLC Marks Card*
(Less Than 300KB)

*
(Less Than 300KB)

upload 7 years study certificate*
(Less Than 300KB)
(7 years study certificate to be received from Block Education officer / DDPI)

Caste Certificate*
(Less Than 300KB)

Physical Challenged*
(Less Than 300KB)

Adhar Card*
(Less Than 300KB)


Terms And Condition :