APPLICATION FOR ADMISSION TO Bsc. NURSING COURSE For the Academic Year 2017-2018

   
All (*) marked fields are mandatory
Admission is Sought for*  
Applicant Photo *  
Select 132 X 170 Pixel JPG Images Only
Name *  
Required: Enter Name
Permanent Address *  
Required: Enter Permanent Address
Pin Code *  
Required: Enter Your Pin Code
Communication Address *  
Required: Enter Communication Address
Pin Code *  
Required: Enter Your Pin Code
E-Mail *  
Required: Enter Email Id
Required: Confirm Email Id
Mobile Number*  
Age*  
Date of Birth*  
Gender*  
Relegion*  
Cast*  
Name of Guardian/Parent*  
Occupation*  
Annual Income*  
Mobile/Telephone of Guardian*  
Nationality*  
Are You Physically Handicapped?*   Yes No
   

Details of Qualifying Examination

   
Register Number*  
Year of Passing*  
No. of Appearance*  
School/Colleges*  
Board/University*  

Subject Wise Mark of 10 +2/Equivalent Examination


Physics*
Chemistry*
Biology*
English*