AP Nursing Counsil
 
 

B.Sc. NURSING   Renewal Form

Name (As per Registration Certificate)
Date Of Birth
Gender
Relation
Father/Mother/Husband/Guardian Name
Social status
Native state
Native district    

COMMUNICATION  DETAILS
PRESENT ADDRESS PERMANENT ADDRESS
Is the Present Address Same as Permanent Address
State
State
District
District
Address
Address
Pincode
Pincode

REGISTRATION NUMBERS

NURSE REG NO
REG DATE
VALID UPTO
MID REG NO
 REG DATE
 VALID UPTO
PHN REG NO
 REG DATE
  VALID UPTO
Whether Previously Renewed Or Not :
RENEWAL RECEPIT NO RENEWAL VALID UPTO
Previous Renewal Slip Upload your certificate (Only JPEG,JPG,BMP,PNG of up to 100 KB SIZE )

CATEGORY OF CERTIFICATES (B.Sc 2years) (B.Sc 3years) (B.Sc 4years)

Course  training at
Are You Apply for Other States Renewal :
University  Name
University  Name

ADDITIONAL INFORMATION
Email
Mobile No.

Passport No

Aadhar  Card No.

PRESENT WORKING DETAILS
Country
Institution Type
State Institution Name
District

UPLOAD B.Sc REGISTRATION CERTIFICATES
Registered Nurse your certificate (Only JPEG,JPG,BMP,PNG of up to 100 KB SIZE )
Registered Midwife your certificate (Only JPEG,JPG,BMP,PNG of up to 100 KB SIZE )
Registered PHN your certificate (Only JPEG,JPG,BMP,PNG of up to 100 KB SIZE )
Instructions
NOTE: PRESCRIBED Renewal FEE
B.Sc(N) is Rs. 500/- and Penalty per annum Rs. 100/-
Do not Enter institutional email id and mobile no
Residentail Adress is manadatory for any future correspondence
After Successful registration Click here to pay online Please read the instructions CarefullyPay online
During the Registration,if any Technical Errors Occurred Please mail us apnursingcouncil@gmail.com
All error messages will be displayed on the screen Fields marked with asterisk(*) are mandatory.
Do not pre-fix title to your name e.g.: Mr., Miss, Mrs, etc.
Select Date of Birth using the calendar provided.
Candidate Email ID and Mobile number will be used for all future communication. Please ensure you enter a valid one.Do Not Enter Institutional e-mail ID and Mobile No
Designed & Developed for APNC
Hyderabad, Andhra Pradesh