APPLICATION FOR B.Sc., Nursing Degree Course
Only Female Candidates are Eligible for this Course
Application No :
130
Name in Full (BLOCK LETTERS) :
*
Category :
*
Government
Management
NRI
Name of Parent / Guardian :
*
Occupation of Parent / Guardian :
Address for Communication :
*
Pin Code :
Land Line No :
Mobile No :
*
Date of Birth :
/
/
Date Month Year
Age :
Sex :
Male
Female
Nationality :
Indian
Others
Marital Status :
Married
Unmarried
Community :
O.C
B.C
MBC/DC
S.C
S.T
Others
Caste :
Religion :
Mother Tongue :
Height in cms :
Weight in kgs :
Qualifying Examination :
H.S.C
S.S.C.E OF CBSE
I.S.C.E
Others
Medium of Instruction :
Tamil
English
Others
Browse Photo :
(Size < 1MB)
STATEMENT OF MARKS IN QUALIFYING EXAMINATION :
Year of Passing :
Reg.No :
Sl.No.
Subjects
Max Marks
Marks Scored
1 .
English
2 .
Physics
3 .
Chemistry
4 .
Biology
5 .
6 .
TOTAL
0
0
Additional Qualification, if any :
Average yearly income of the parent :
APPLLICATION COST RS. 500/-
FURTHER QUERIES CALL : 94437 64926
Our Bank Details :
NEHRU EDUCATIONAL TRUST
INDIAN OVERSEAS BANK
BRANCH : KODAMBAKKAM.CHENNAI-600024
ACCOUNT NO : 003802000004665
IFSC : IOBA0000038