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The course curriculum has great depth. Earlier there was no semester system, however now I believe there is one. Moreover, there have been many changes in the course curriculum. These changes can be checked and confirmed from University website.
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No, admission to PNNM Palakkad is done based on NEET-UG/PG exam followed by counselling to get admission and you cannot get direct admission.
You can check out the page PNNM Palakkad Courses & fees to know more on the fees.