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    COURSES

Teaching Courses
Post Graduate DNB Ophthalmology National Board of Examinations, New Delhi
Post Graduate DNB Family Medicine National Board of Examinations, New Delhi
BMLT-Bachelor of Medical Imaging Tech   Manipal Academy of Higher education
BMLT-Bachelor of Medical Lab. Tech.   Manipal Academy of Higher education

Diploma  (Two Years)

Optometry Govt. of UP & State Medical Faculty, Lucknow
Orthoptics Govt. of UP & State Medical Faculty, Lucknow
Physiotherapy Govt. of UP & State Medical Faculty, Lucknow
OT Technician Govt. of UP & State Medical Faculty, Lucknow
Intensive Care Technician Govt. of UP & State Medical Faculty, Lucknow

    APPLICATION FORM

Name of Student  
Permanent Address  
Date of Birth  
Marital Status  
Age on 30th June  
Father/Husband Name  
Relationship with student  
Guardian’s Name  
Local address if any  
State of Permanent Address  
Last Exam Passed  
Division and name of university  
College last Attendant  
Details of Exams passed High Schools Onwards  
Marks Obtained in XII Intermediate Exam  
Name of Subjects  
Percentage  
Application Fees is Rs/= 500/= (Five hundred only) in favour of “Dr. Jawaharlal Rohatagi Smarak Netra 
Chikitsalaya” payable at Kanpur attached.
  Signature of student

The Application is send by  Regd. A.D. post to 'Principal', Dr. Rajendra  Rohatgi Institute of Medical Sciences, Dr Jawaharlal Rohatgi Smarak Netra Chikitsalaya, Sarvodaya Nagar, Kanpur or delivered by hand.

  Download the Word format of Application Form