Application Form – Entrance Examination 2025 – SHANTHA GROUP OF INSTITUTIONS

Application Form – Entrance Examination 2025

(Bachelor of Physiotherapy & Bachelor of Occupational Therapy)

1. Personal Information

Student Full Name

▼

Father Name

Mother Name

Email Address *

Date of Birth *

Mobile Number *

Alternate Contact No (Parent/Guardian)

Residential Address

Locality

City

District

State

Pin Code

• Category
General SC ST Other

• Nationality

• PwD (Person with Disability)

2. Course Selection

Please select the course(s) you are applying for:

3. Academic Qualifications

Examination Passed	Board/University	Year of Passing	Percentage/Grade
10th (SSLC)
12th (PUC/Equivalent)

4.Entrance Examination Details

If applicable, please provide your entrance examination details:

• NEET UG Score:

• State Entrance Exam Name:

• State Entrance Exam Score:

5. Payment Details

Application Fee: ₹500

Payment Method

UPI Online Transfer

Physiotherapy Account Info
Physiotherapy Account Details

Account Name: SHANTHA COLLEGE OF PHYSIOTHERAPY

Account Number: 120001753520

Branch Name: PERESANDRA BRANCH

IFSC Code: CNRB0001293

Scanned Photo:

Allied Health Science Account Info
Allied Health Science Account Details

Account Name: SHANTHA COLLEGE OF ALLIED HEALTH SCIENCE

Account Number: 1293201000439

Branch Name: PERESANDRA BRANCH

IFSC Code: CNRB0001293

Scanned Photo:

• Transaction ID/Reference Number *

Upload the payment receipt along with the UTR number *

Select Image

6. Document Uploads (PDF/JPEG)

10th Marks Card *
Select Image

12th Marks Card *
Select Image

NEET Scorecard (if applicable)
Select Image

State Entrance Exam Scorecard (if applicable)
Select Image

Recent Passport-size Photograph *
Select Image

Scanned Signature *
Select Image

Government ID Proof (Aadhaar/Passport/etc.)
Select Image

PwD Certificate (if applicable)
Select Image

Payment Receipt / Screenshot *
Select Image

7. Referral

Name

8.Declaration

I hereby declare that the information provided above is true and correct to the best of my knowledge. I understand that false or misleading information may result in the cancellation of my application.

Application Form – Entrance Examination 2025