Post Basic BSC Nursing

Post Basic 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 *

Maximum total marks in the board examination in Diploma in Nursing Course.

I Year

II Year

III Year

Number of attempts in the final year Diploma in Nursing Examination

Date of passing Diploma in Nursing

Nursing Council registration number

Nurse*

Midwifery*

Obtained Eligibility certificate from Tamil Nadu Dr.M.G.R. Medical University
Yes No

Present Occupation*
Govt. Service Private

If Service candidate, date of appointment

Are you applying for Orthopedically Physically Disabled Category*
Yes No

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

Category applied for*
Management Government

Application Fees 400rs

I Agree that I have filled all the required details