Online Application Form
Personal Details:-
Applied For Admission Class
GNM Nursing
Name of the Applicant(Mr./Ms.)
*
Date of Birth
*
Mother's Name
*
Father's Name/Guardian's Name
*
Permanent Address
Correspondence Address
District
State
Pin Code
*
Please enter six digits.
Contact No.
Email ID
Category
General
SC
ST
OBC
SOBC
Other
Gender
Male
Female
Nationality
*
Photo
*
Image Files Only (.jpg, .bmp, .png, .gif)
ID Proof
*
Image Files Only (.jpg, .bmp, .png, .gif)
Academic Qualification :-
Examination's
Board/University
Subjects
Year of Passing
Percentage of Marks
Class
Other
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