Application Form important instructions:
The candidate should study the information brochure carefully
and understand with all requirements and eligibility. Form should
be filled by the candidate in his/her own handwriting. Use Blue/
Black Ball Point pen only. Fill the form in English using
CAPITAL LETTERS only.
Do not do overwriting, cuttings, erasing in the application form.
It is better to fill in a photocopy of the form first and thereafter
fill in the original application form.
can submit application form in person and pay examination fee
in cash in APDMC Office.
your complete address in the application form for further communication
with APDMC. Keep a photocopy of ORIGINAL filled application form.
should write name and application form number on the back of demand
the filled application form complete in all respect along with
necessary fees to the APDMC, Bhopal.
Name of the candidate: Write first name, then middle name (abbreviate
if necessary) and then surname in the boxes provided on top. One
box should be left blank between first, second and surname.
of birth of candidate: write the date in the two boxes provided
in the first column. Write the month in next two boxes (if born
in Jan write 01) and write the year (if born in year 1991 write
9 and 1)in the next two boxes.
Tick Male or Female in the box provided.
Tick the choice of course. Candidates are eligible for any course
available in the counselling if qualify for that course whether
opted or not.
of Centres: Tick choice of the two centres in order of preference
and write Centre Code No.
of Parent/Guardian: Write first name, then middle name (abbreviate
if necessary) then surname in the boxes provided.
Mailing Address: Write mailing address clearly inside the boxes.
Write your PIN code. Write address in capital letters only.
Address: Write your telephone/mobile numbers in the boxes.
A WHITE BACKGROUND recent high contrast 3.5 cm. x 4.5 cm. color
photograph should be pasted. Photograph should contain front profile
with full face, head, shoulder and with both ears visible and
taken without wearing any cap or hat or sunglasses. Polaroid photo
is NOT acceptable. Photograph must be taken on or after 1st January,
2015 with a playcard indicating the name of the candidate (as
in the application form) and the date of taking photograph.
should be pasted. Do not pin/staple to fix the photograph. It
is not required to attest or sign the photograph.
should sign himself/herself entirely inside the box provided.
Impression: – Apply your left thumb impression using BLUE/
RED STAMP PAD ink in the space provided. Allow the ink to get
candidate should keep the photocopy of application form. Photocopy
of application form from DMAT office can be obtained on payment
a candidate tries to influence the authorities, directly or indirectly
will disqualify the candidate.
Mention your Application Form Number in any correspondence. If
Roll Number is allotted, the candidate should mention the Roll
Number in all correspondence.