ABHINAV BINDRA SPORTS MEDICINE & RESEARCH INSTITUTE (ABSMARI)

Best Physiotherapy College in East

COURSE APPLIED FOR

PHOTOGRAPH

ACADEMIC DETAILS

10th Class Details

12th or Equivalent

DETAILS OF PARENTS

Check the List of Documents Attached

Check list of documents enclosed:

1.  Qualifying Examination (B.P.T.) all years Marks Statement,BPT internship completion Certificate, Degree/Provisional Original & 2 Xerox copies. (in case of MPT admission)

2.   10th Certificate showing date of Birth-Original & 2 Xerox copies.

3.   12th mark statement Original & 2 Xerox copies.

4.   Council Registration Certificate (For MPT Applicants)

5.   Medical Fitness Certificate  (Please provide details of any major illness/ long-standing illness, recent or in the past five years.) Sickness, serious/ Major illness Surgical/non-surgical, Communicable disease, if any, and

Recent COVID-19 Report-Original & 2 Xerox copies.

6.   Conduct Certificate - Original & 2 Xerox copies

7.   Transfer Certificate - Original & 2 Xerox copies.

8.   Migration Certificate(other than Utkal University students) Original & 2 Xerox.

9.   Passport (For international students)

10.  Aadhar Card.

11.  Equivalence certificate for international Students

12.  Consent and Identity Proof of Local Guardian

13.  Photographs- MPT- 10 passport size & 10 stamp size

14.  Photographs BPT- 20 passport size and 10 stamp size

Note: All Documents to be produced in original along with 10 sets of photocopies of each document

Declaration I do hereby undertake that I have filled up this form myself & to the best of my knowledge and belief the particulars furnished above are true. I hereby undertake to abide by all the conditions, rules, regultions in force at present and also those which may hereafter be introduced by ABSMARI for the administration of the College & Hostel. I also undertake that so long as I am a student of this college I will do nothing unworthy of a student of the institute either inside or outside anything that will interfere with its orderly working & discipline. I am aware that the management has the full authority to take disciplinary 

action for negligence in studies, misbehavior and continuous failure. I do hereby, also, undertake that I shall pay all the fees and dues to the institution promptly on time. I am also aware that Fees once paid shall not be refunded. In case I need to quit the course, I am liable to follow the rules and regulation of the Institution.