NRI For 2023-24D Y Patil University, Kolhapur Application Form for NRI QuotaNEET - 2026 Details Roll No : * All India Rank : * PERSONAL INFORMATION Full Name of the candidate:* Gender : * Male Female Other Date of Birth : * Address : * State : * Select StateAndaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar Haveli and Daman & DiuGoaGujaratHaryanaHimachal PradeshJammu & KashmirJharkhandKarnatakaKeralaLadakhLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPuducherryPunjabRajasthanSikkimTamil NaduTelanganaNew DelhiTripuraUttar PradeshUttarakhandWest Bengal Pin : * UPLOADSJPG FORMAT AND MAXIMUM SIZE 4 MB Photo: * Signature: * NEET Score Card: * COMMUNICATION INFORMATION Mobile No : * Alternate Mobile No :* Student's Email ID : * ACADEMIC INFORMATION 10+2 Passing Year : * Select Passing Year202320222021202020192018201720162015201420132012 Subject Obtained Mark / Out of Mark Physics * / Chemistry * / Biology * / DECLARATIONI hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled at any time of counseling or even during the academic course.I have read and understood all the provisions contained in the notification/s and hereby agree to abide by these provisions.I am aware that, any legal matters arising out of the total admission process of any Course through will be in the courts of Kolhapur.The candidate should cross check all the details filled in the online application, before finally submitting the same, as no correction will be possible later I Accept that I have gone through the Counselling Procedure. "After submitting online application form, please take print of the same. It is necessary to bring the hard copy of the application form at the time of counseling and admission."