Application Fill The Application And Book Your Seats Now !! There was an error trying to submit your form. Please try again. Online Application Form Course Details : Select Course * SELECT COURSE Basic B.Sc. Nursing General Nursing (GNM) This field is required. Applicant Details : Name * This field is required. Surname * This field is required. Date Of Birth * This field is required. Marital Status * SELECT MARITAL STATUS Single Married This field is required. Select Your Blood Group * Select an option O Positive (O+) O Negative (O-) A Positive (A+) A Negative (A-) B Positive (B+) B Negative (B-) AB Positive (AB+) AB Negative (AB-) This field is required. Aadhar Number This field is required. Parent / Guardian Details : Father's Name * This field is required. Father/Guardian Contact Number * This field is required. Mother's Name * This field is required. Mother/Guardian Contact Number * This field is required. Communication Details : Present Address Address * This field is required. City * This field is required. State * This field is required. Postal Code * This field is required. Permanent Address Address * This field is required. City * This field is required. State * This field is required. Postal Code * This field is required. Contact Number * This field is required. Email Id * This field is required. General Details : Nationality * SELECT NATIONALITY Indian Non Indian This field is required. Category * SELECT CATEGORY General SC ST OBC This field is required. Languages Known This field is required. Academic Details : 10/12 Equivalent Examination * SELECT THE EXAMINATION SSLC/10 CLASS 12 This field is required. Name Of The Institution/College, Which The Candidate Has Passed Out * This field is required. Marks Secured In The Qualifying Examination : Subject * This field is required. Maximum Marks * This field is required. Marks Secured * This field is required. Subject * This field is required. Maximum Marks * This field is required. Marks Secured * This field is required. Subject * This field is required. Maximum Marks * This field is required. Marks Secured * This field is required. Subject * This field is required. Maximum Marks * This field is required. Marks Secured * This field is required. Subject * This field is required. Maximum Marks * This field is required. Marks Secured * This field is required. Self Declaration : I declare that the above information is true and correct to the best of knowledge and belief. The documents submitted are genuine. In case of the above information is found to be false or incorrect, I shall forfeit the claim to be considered for a seat in the Nursing college. I and/ or my parent/ guardian will also be liable for such civil/ criminal action may take against me/ us in this behalf. I declare and Confirm * This field is required. Submit There was an error trying to submit your form. Please try again.
