Punjab State Faculty of Ayurvedic and Unani Systems of Medicine
(Admission Counseling Session 2024-25)
For Student Enquiry
upvaidhelpline@gmail.com, facultyofayurveda@gmail.com
7888850433, 0172-5262184
Call Timing: 9:30AM To 4:30 PM
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Personal Information
Apply For :
ਲਈ ਅਰਜ਼ੀ
*
UPVAID
Name of Applicant :
ਅਰਜੀਦਾਤਾ ਦਾ ਨਾਮ
*
Father Name :
ਪਿਤਾ ਦਾ ਨਾਮ
*
Mother Name :
ਮਾਤਾ ਦਾ ਨਾਮ
*
Gender :
ਲਿੰਗ
*
Male
Female
Email ID :
ਈ ਮੇਲ ID
*
Mobile Number :
ਮੋਬਾਇਲ ਨੰਬਰ
*
Date of Birth :
ਜਨਮ ਮਿਤੀ
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Aadhar Card Number :
ਆਧਾਰ ਕਾਰਡ ਨੰਬਰ
*
Whether You belong to Reserve Category :
ਕੀ ਤੁਸੀਂ ਰਿਜ਼ਰਵ ਸ਼੍ਰੇਣੀ ਦੇ ਹੋ?
*
Yes
No
Permanent Address
Permanent Address :
ਪੱਕਾ ਪਤਾ
*
City :
ਸ਼ਹਿਰ
*
Pin Code :
ਪਿਨ ਕੋਡ
*
State :
ਰਾਜ
*
--Select State--
Punjab
Andhra Pradesh
Arunachal Pradesh
Assam
Andaman and Nicobar Islands union territory
Bihar
Chandigarh union territory
Chhattisgarh
National Capital Territory of Delhi union territory
Daman and Diu union territory
Dadra and Nagar Haveli union territory
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep union territory
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha(Orissa)
Puducherry union territory
Rajasthan
Sikkim
Telangana
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Other
Nationality :
ਕੌਮੀਅਤ
*
Indian
Other
Correspondence Address
Check here for the Same as Permanent Address
Correspondence Address :
ਪੱਤਰ ਵਿਹਾਰ ਪਤਾ
*
City :
ਸ਼ਹਿਰ
*
Pin Code :
ਪਿਨ ਕੋਡ
*
State :
ਰਾਜ
*
--Select State--
Punjab
Andhra Pradesh
Arunachal Pradesh
Assam
Andaman and Nicobar Islands union territory
Bihar
Chandigarh union territory
Chhattisgarh
National Capital Territory of Delhi union territory
Daman and Diu union territory
Dadra and Nagar Haveli union territory
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep union territory
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha(Orissa)
Puducherry union territory
Rajasthan
Sikkim
Telangana
Tamil Nadu
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Other
Qualification Detail
Board/Uni.
ਬੋਰਡ / ਯੂਨੀਵਰਸਿਟੀ
*
Roll No.
ਰੋਲ ਨੰਬਰ
*
Subject
ਵਿਸ਼ਾ
*
Passing Year
ਪਾਸ ਸਾਲ
*
Obtained Marks
ਪ੍ਰਾਪਤ ਅੰਕ
*
Total Marks
ਕੁੱਲ ਅੰਕ
*
10th
--Select Board--
BOARD OF INTERMEDIATE EDUCATION(ANDHRA PRADESH)
BOARD OF SECONDARY EDUCATION (ANDHRA PRADESH)
A.P. OPEN SCHOOL SOCIETY Govt. of Andhra Pradesh
ASSAM HIGHER SECONDARY EDUCATION COUNCIL
BOARD OF SECONDARY EDUCATION, ASSAM
ASSAM SANSKRIT BOARD
STATE MADRASSA EDUCATION BOARD, ASSAM
Aligarh Muslim University Board of Secondary & Sr. Secondary Education, Aligarh
BIHAR SCHOOL EXAMINATION BOARD
BIHAR BOARD OF OPEN SCHOOLING & EXAMINATION
BIHAR STATE MADRASA EDUCATION BOARD
BIHAR SANSKRIT SHIKSHA BOARD
BANASTHALI VIDYAPITH
CENTRAL BOARD OF SECONDARY EDUCATION
CHHATISGARH BOARD OF SECONDARY EDUCATION
CHHATISGARH STATE OPEN SCHOOL
CHHATTISGARH SANSKRIT BOARD, RAIPUR
CHHATTISGARH MADRASA BOARD
COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE EXAMINATIONS
DAYALBAGH EDUCATIONAL INSTITUTE(DEEMED UNIVERSITY)
GOA BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION
GUJARAT SECONDARY AND HIGHERSECONDARY EDUCATION BOARD
Gurukula Kangri Vishwavidyalaya
H.P. BOARD OF SCHOOL EDUCATION
The J & K STATE BOARD OF SCHOOL EDUCATION
JHARKHAND ACADEMIC COUNCIL,RANCHI
GOVT. OF KARNATAKA DEPT. OF PRE-UNIVERSITY EDUCATION
KARNATAKA SECONDARY EDUCATION, EXAMINATION BOARD
KERALA BOARD OF PUBLIC EXAMINATION
KERALA BOARD OF HIGHER SECONDARY EDUCATION
BOARD OF VOCATIONAL HIGHER SECONDARY EDUCATION, KERALA
MAHARASHTRA STATE BOARD OF SECONDARYAND HIGHER SECONDARY EDUCATION
BOARD OF SECONDARY EDUCATION, MADHYA PRADESH
M.P. STATE OPEN SCHOOL EDUCATION BOARD
MAHARISHI PATANJALI SANSKRIT SANSTHAN
BOARD OF SECONDARY EDUCATION, MANIPUR
COUNCIL OF HIGHER SECONDARY EDUCATION, MANIPUR
MEGHALAYA BOARD OF SCHOOL EDUCATION
MIZORAM BOARD OF SCHOOL EDUCATION
NAGALAND BOARD OF SCHOOL EDUCATION
NATIONAL INSTITUTE OF OPEN SCHOOLING
COUNCIL OF HIGHER SECONDARY EDUCATION, ODISHA
BOARD OF SECONDARY EDUCATION, ODISHA
PUNJAB SCHOOL EDUCATION BOARD
BOARD OF SECONDARY EDUCATION RAJASTHAN
RAJASTHAN STATE OPEN SCHOOL, JAIPUR
RASHTRIYA SANSKRIT SANSTHAN,NEW DELHI
STATE BOARD OF SCHOOL EXAMINATIONS(SEC.) & BOARD OF HIGHER SECONDARY EXAMINATIONS, TAMIL NADU
TELANGANA STATE BOARD OF INTERMEDIATE EDUCATION, NAMPALLY HYDERABAD-500001
BOARD OF SECONDARY EDUCATION, TELANGANA STATE CHAPEL ROAD, NAMPALLY, HYDERABAD-500001
TELANGANA OPEN SCHOOL SOCIETY,Basheerbagh, Hyderabad-500001
TRIPURA BOARD OF SECONDARY EDUCATION, Agartala-799006
U.P. BOARD OF HIGH SCHOOL & INTERMEDIATE EDUCATION,INTERMEDIATE ALLAHABAD,ALLAHABAD-211001
U.P. Board of SEC. SANSKRIT EDUCATION,LUCKNOW-226003
BOARD OF SCHOOL EDUCATION UTTARAKHAND,Ram Nagar, Nainital-244715
UTTRAKHAND SANSKRIT SHIKSHA PARISHAD,Dehradun-248001 (Uttrakhand)
UTTRAKHAND MADRASA EDUCATION BOARD,Dehradun-248001
WEST BENGAL COUNCIL OF HIGHER SECONDARY EDUCATION,Kolkata 700091
WEST BENGAL BOARD OF MADRASAH EDUCATION,Kolkata – 700016
The WEST BENGAL COUNCIL OF RABINDRA OPEN SCHOOLING,Kolkata- 700091.
Other
Year
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
10+2
--Select Board--
KERALA BOARD OF PUBLIC EXAMINATION
BOARD OF INTERMEDIATE EDUCATION(ANDHRA PRADESH)
BOARD OF SECONDARY EDUCATION (ANDHRA PRADESH)
A.P. OPEN SCHOOL SOCIETY Govt. of Andhra Pradesh
ASSAM HIGHER SECONDARY EDUCATION COUNCIL
BOARD OF SECONDARY EDUCATION, ASSAM
ASSAM SANSKRIT BOARD
STATE MADRASSA EDUCATION BOARD, ASSAM
Aligarh Muslim University Board of Secondary & Sr. Secondary Education, Aligarh
BIHAR SCHOOL EXAMINATION BOARD
BIHAR BOARD OF OPEN SCHOOLING & EXAMINATION
BIHAR STATE MADRASA EDUCATION BOARD
BIHAR SANSKRIT SHIKSHA BOARD
BANASTHALI VIDYAPITH
CENTRAL BOARD OF SECONDARY EDUCATION
CHHATISGARH BOARD OF SECONDARY EDUCATION
CHHATISGARH STATE OPEN SCHOOL
CHHATTISGARH SANSKRIT BOARD, RAIPUR
CHHATTISGARH MADRASA BOARD
COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE EXAMINATIONS
DAYALBAGH EDUCATIONAL INSTITUTE(DEEMED UNIVERSITY)
GOA BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION
GUJARAT SECONDARY AND HIGHERSECONDARY EDUCATION BOARD
Gurukula Kangri Vishwavidyalaya
H.P. BOARD OF SCHOOL EDUCATION
The J & K STATE BOARD OF SCHOOL EDUCATION
JHARKHAND ACADEMIC COUNCIL,RANCHI
GOVT. OF KARNATAKA DEPT. OF PRE-UNIVERSITY EDUCATION
KARNATAKA SECONDARY EDUCATION, EXAMINATION BOARD
KERALA BOARD OF PUBLIC EXAMINATION
KERALA BOARD OF HIGHER SECONDARY EDUCATION
BOARD OF VOCATIONAL HIGHER SECONDARY EDUCATION, KERALA
MAHARASHTRA STATE BOARD OF SECONDARYAND HIGHER SECONDARY EDUCATION
BOARD OF SECONDARY EDUCATION, MADHYA PRADESH
M. P. STATE OPEN SCHOOL EDUCATION BOARD
MAHARISHI PATANJALI SANSKRIT SANSTHAN
BOARD OF SECONDARY EDUCATION, MANIPUR
COUNCIL OF HIGHER SECONDARY EDUCATION, MANIPUR
MEGHALAYA BOARD OF SCHOOL EDUCATION
MIZORAM BOARD OF SCHOOL EDUCATION
NAGALAND BOARD OF SCHOOL EDUCATION
NATIONAL INSTITUTE OF OPEN SCHOOLING
COUNCIL OF HIGHER SECONDARY EDUCATION, ODISHA
BOARD OF SECONDARY EDUCATION, ODISHA
PUNJAB SCHOOL EDUCATION BOARD
BOARD OF SECONDARY EDUCATION RAJASTHAN
RAJASTHAN STATE OPEN SCHOOL, JAIPUR
RASHTRIYA SANSKRIT SANSTHAN,NEW DELHI
STATE BOARD OF SCHOOL EXAMINATIONS(SEC.) & BOARD OF HIGHER SECONDARY EXAMINATIONS, TAMIL NADU
TELANGANA STATE BOARD OF INTERMEDIATE EDUCATION, NAMPALLY HYDERABAD-500001
BOARD OF SECONDARY EDUCATION, TELANGANA STATE CHAPEL ROAD, NAMPALLY, HYDERABAD-500001
TELANGANA OPEN SCHOOL SOCIETY,Basheerbagh, Hyderabad-500001
TRIPURA BOARD OF SECONDARY EDUCATION, Agartala-799006
U.P. BOARD OF HIGH SCHOOL & INTERMEDIATE EDUCATION,INTERMEDIATE ALLAHABAD,ALLAHABAD-211001
U.P. Board of SEC. SANSKRIT EDUCATION,LUCKNOW-226003
BOARD OF SCHOOL EDUCATION UTTARAKHAND,Ram Nagar, Nainital-244715
UTTRAKHAND SANSKRIT SHIKSHA PARISHAD,Dehradun-248001 (Uttrakhand)
UTTRAKHAND MADRASA EDUCATION BOARD,Dehradun-248001
WEST BENGAL COUNCIL OF HIGHER SECONDARY EDUCATION,Kolkata 700091
WEST BENGAL BOARD OF MADRASAH EDUCATION,Kolkata – 700016
The WEST BENGAL COUNCIL OF RABINDRA OPEN SCHOOLING,Kolkata- 700091.
Other
Select Stream
Arts
Commerce
Science
Other
Year
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Undertaking & Pledge by Candidate
I hereby certify that the information provided by me in this form is correct to the best of my knowledge and I have not concealed any information in any manner.
I agree to observe and abide by all the rules and regulation of Punjab Govt. including those with regards to programme of studies syllabus scheme of examination rules and the hostel rules that may be laid from time by the Punjab Govt. Institution during the period of my studies and I will not associate myself with any activity prejudicial to the discipline of concern college.
I fully understand that for any violation or infringement of these rules and regulation, disciplinary action can be taken against me by the authorities.
I certify that during discontinuation of my studies, I was not involved in any offense or in any illegal activities & no case is pending against me in any court of law.
I understand that if at any stage, it is found that I have provided any wrong information to seek admission to Ayurvedic Institution then my admission will stand cancelled automatically & I will have to claim whatsoever on the seat or the dues paid to the institution.