Madurai -Rajapalayam Road (NH744)
Thirumangalam Post, Madurai- 625 704.
Phone No: 73393 45672, 73392 12944

B.Sc Physician Assistant
B.Sc Dialysis Technology
B.Sc Accident & Emergency Technology
B.Sc Operation Theatre & Anaesthesia Technology
B.Sc Medical Laboratory Technology
B.Sc Radiology & Imagine Technology
Diploma in Health Care Aide
* Duration of all B.Sc Degree Course: 3years + 1 year Internship
* Duration of Diploma in Health care Aide Course: 2 years

Candidate’s Personal Information


Male Female

Indian Others(Please Specify)

Educational Information :
Examination Passed Board / Institute / University Year of Passing Total Marks

(Note: Xerox copies of Academic and Community certificate should be enclosed)

Open SC ST

Differently Abled OBC PIO(Person of Indian Origin)

NRI Foreign National

Declaration by the candidates:
  • 1. I hereby declare that all the particulars stated in the application form are true to the best of my knowledge and belief.
  • 2. I understand that ignorance of rules cannot and will not absolve me of my duties and responsibilities.
  • 3. I undertake to abide by the rules and regulations of the institution.
  • 4. I am aware of the institution’s policy towards ragging and punishment to which I am liable, if found guilty of ragging.