REGISTRATION FORM-2022-(B.SC. NURSING AND GNM )

Personal Information

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Father name:*

Mother name:*

Guardian’s Name:

Relationship:

Date of Birth :*

Aadhar No. (Candidate):*

Place of Birth:*

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If in service, mention details:

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Academic Information

Name of the Examination Year of Passing Board/University Maximum Marks (Gross) Marks Obtained (Gross) Percentage of Marks Division
Secondary
Senior Secondary / Intermediate (10+2) or equivalent

Details of Educational Institute where the candidate studied during last 4 years

Year Name of Institute Place Class in which studied

Details of passing qualifying Examination (Senior Secondary (10+2) or equivalent)

Subject Maximum Marks Minimum Marks Marks Obtained

If a candidate belongs to any category noted below, he/she should write Check the Box against category to which he/she belongs:


General
OBC
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