APOLLO INSTITUTE OF HOSPITAL MANAGEMENT
& ALLIED SCIENCES

APPLICATION FOR ADMISSION

Admission Instructions:

Fill in the online admission form below. All fields are mandatory.
After completing the form, download the application form in PDF format.

Email the following documents to admissions@aihmas.org:

○ Downloaded Admission Form (PDF)
○ Application Fee Payment Screenshot
○ Recent Passport-Size Photograph

Application Fee Details:

Fee	:	₹1,000/-
Payment Mode	:	Online only (No Cash Accepted)
Accepted Methods	:	Bank Transfer (RTGS/NEFT) or GPAY

Bank Details:

Account Name	:	Apollo Institute of Hospital Management & Allied Sciences
Account Number	:	167501000005884
Bank	:	Indian Overseas Bank – Apollo Hospitals Branch
IFSC Code	:	IOBA0001675

Note: Applications will be processed only after submission of the completed form along with payment proof.

Apollo Institute of Hospital Management
& Allied Sciences, Chennai

(The Tamil Nadu Dr. M. G. R. Medical University, Guindy.)

Application Form - B.Sc., Allied Health Sciences

Academic Year: 2026 – 2027

Application Mode: Online

Application No: 26 /

Course Applied for:

(Please ✓ One Course)

B.Sc., Physician Assistant (PA)
B.Sc., Nuclear Medicine Technology (NMT)
B.Sc., Critical Care Technology (CCT)
B.Sc., Medical Laboratory Technology (MLT)
B.Sc., Dialysis Technology (DT)
B.Sc., Radiotherapy Technology (RT)
B.Sc., Operation Theatre & Anaesthesia Technology (OT & AT)

Please select a course.

Passport Size
Photo

Student Personal Details

Full Name (as per certificates) *

Full name is required.

Gender *

M

F

Please select a gender.

Date of Birth *

Date

Month

Year

Enter a valid date of birth (DD MM YYYY).

Age *

Age must be between 17 and 60.

Nationality *

Nationality is required.

Religion

Community *

BC

MBC

OC

SC

ST

GEN

Please select a community.

Aadhar Number *

Please enter all 12 Aadhar digits.

Student Mobile Number *

Enter a valid 10-digit mobile number (starts with 6–9).

Student Email ID *

Please enter a valid email address.

Parent / Guardian Details

Father's Name *

Father's name is required.

Mother's Name

Father's / Guardian Occupation

Mother's / Guardian Occupation

Parent/Guardian Mobile Number *

Enter a valid 10-digit mobile number.

Alternate Contact Number

Enter a valid 10-digit number.

Address Details

Communication Address: *

Communication address is required.

Permanent Address:

(Leave blank if same as Communication Address)

Academic Qualification (+2 Details)

• 12^th Board – CBSE Matriculation Govt School Other Board

Examination Passed & Branch	Name of the Board (State/Central/ Others)	Name of the School	Register No.	Aggregate of marks	Aggregate Percentage of marks	Month year of Passing
X
XII
Subjects

Hostel Requirement

Hostel Required:

Yes No

(*Girls Only)

Eligibility Checklist (As per University Norms)

Completed 17 years of age at the time of admission
Studied Biology as a compulsory subject in +2
Secured minimum 60% aggregate marks in +2

Declaration by Student

I hereby declare that the information provided above is true and correct to the best of my knowledge. I understand that admission is subject to eligibility, verification of documents, and institutional rules.

Place:

Date:

Student Signature

Declaration by Parent / Guardian

I hereby confirm that the information provided by my ward is correct and I agree to abide by the rules and regulations of the institution.

Mobile Number:

Enter a valid 10-digit number.

Parent/Guardian Signature:

Office Use Only

Eligibility Verified: Yes / No

Interview Date:

Selection Status: Selected Waitlisted Not Selected

Admin Signature

Document Checklist (To be submitted at the time of admission)

The following certificates should be submitted with the application with one set of attested xerox copy of the originals failing which candidate will not be registered for course.

Note: Please Note that 1 sets of Xerox Copies are required for the above mentioned documents, all Xerox documents must be signed by a Gazetted Officer and bear their official Seal.

Apollo Institute of Hospital Management& Allied Sciences, Chennai

Apollo Institute of Hospital Management
& Allied Sciences, Chennai