BSC Nursing

B.Sc Nursing Online Application

Name of the Applicant*

Date of Birth*

Age*

Gender*
Male Female

Nationality*

Domicile

Religion*

Caste

Community*
FC BC MBC SC ST Others

Name of the Parent/ Guardian*

Relationship to the Applicant

Occupation*

Income (P/A)

Address for Communication*

Permanent Address

Phone No

Landline

Mobile*

E-mail *

Name of the Qualifying Examination (HSC or its Equivalent)

Date & Year of Passing

Number of attempts

Improvement taken if any

Total Marks obtained

Extracurricular activities, hobbies (sports, cultural, literary etc.)

Category applied for*
Management Government

Marksheet Attachement

Application Fees 400rs

I Agree that I have filled all the required details