2nd Floor, Athawale Chamber, Red Cross Signal, Near Gawkari Office, Nashik Maharashtra 422001
+91 8208537070
+91 8830267140
+91 82863 49760
clinivahealthinstitute09@gmail.com
Pay fees using below QR code and Upload the Screentshot of Payment
Name of Candidate *
Email*
Permanant Address*
Mobile No.*
Age *
Passing Year of Final Exam *
Marks Obtain in Final Exam (%) *
Last Attended Degree*
Application for course*
Final Year Marksheet *
Provisional/Permanent Registration *
Passport Size Photo *
Aadhar Card *
Application Fees Receipt *
Where did you learn about Cliniva Courses