GLANIS INSTITUTE OF ALLIED HEALTH SCIENCES
Madurai -Rajapalayam Road (NH744)
Thirumangalam Post, Madurai- 625 704.
Phone No: 93618 23052, 75300 11882

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 Radiography & Imaging Technology

* Duration of all B.Sc Degree Course: 3years + 1 year Internship


Candidate’s Personal Information



(DD/MM/YYYY)


Male Female











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 OBC

YES NO

Indian NRI


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. Any withdrawal by candidate up to one month after confirmation of admission will entail forfeiting the Admission Fee.
  • 4. Any withdrawal after one month of admission confirmation will entail forfeiting the Admission Fee plus 50 % of the first instalment fee, provided classes have not begun.
  • 5. Any withdrawal after commencement of classes will entail forfeiting the entire first instalment fee.
  • 6. I undertake to abide by the rules and regulations of the institution.
  • 7. I am aware of the institution’s policy towards ragging and punishment to which I am liable, if found guilty of ragging.