Online Application Form

Begin your journey towards a rewarding career in healthcare with PK Das College of Physiotherapy, one of the leading physiotherapy colleges in Kerala.

Bachelor of Physiotherapy (BPT). Fields marked with * are required.

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Application Details

Application No

Date and Time

Course applied for *

Admission Category / Quota *

Name of the College

Upload your passport size photo *

JPG / PNG / WebP, up to 2 MB

Applicant Details

Name in Block Letters *

Sex *

MaleFemaleOther

Date of Birth *

Age as on 31-12-2026 *

Name of Father *

Name of Mother *

Permanent Address *

Address for Communication *Same as permanent address

Religion & Community *

Phone Number *

Mobile No *

Email Address *

Family Annual Income (Rs.) *

Stream *

If the candidate is claiming any reservation or other benefits, furnish details

Marks Obtained - Higher Secondary

Subject	Maximum Marks	Marks Secured	Marks Secured in +2
PHYSICS
CHEMISTRY
BIOLOGY
ENGLISH
Total

Online Payment Details

Transaction ID *

12-digit transaction / UTR number

Date *

Bank / UPI *

Declaration

I, ................................... do hereby declare that the particulars given in the application are true to the best of my knowledge and belief. If any of the particulars given by me in this application is proved fraudulent at any later stage of admission, I shall be liable for disciplinary action and my admission shall become null and void. I shall produce the originals of the certificates at the time of interview. I carefully read the prospectus thoroughly and I am ready to abide the terms and conditions mentioned in the Prospectus.

I agree to the above declaration.

Upload your signature (signature of the candidate) *

Sign on white paper and upload a clear photo. JPG / PNG / WebP, up to 2 MB

Need help? Call 0466 2344700 / +917511115588 or email office@pkdascollegeofphysiotherapy.com