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B.Sc. NURSING (3 Years) - NEW
REGISTRATION
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Name (as per S.S.C / Inter
Memo)* |
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| Date Of Birth* |
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| Gender* |
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| Relation * |
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Father/Mother/Husband/Guardian
Name* |
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Social status* |
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| Native state* |
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| Native
district
* |
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COMMUNICATION DETAILS |
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PRESENT ADDRESS |
PERMANENT ADDRESS |
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Is the Present Address Same as Permanent Address
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State* |
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State |
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District* |
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District |
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Address* |
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Address |
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Pincode* |
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Pincode |
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EDUCATION DETAILS
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| Qualification |
Passed in the Year |
Month |
Hall ticket No. |
| SSC * |
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| INTER * |
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| GNM * |
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REGISTRATION NUMBERS
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COURSE DETAILS (B.Sc. Nursing - 3 Years) |
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Course training at* |
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| Course
period * |
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Held in the year / Month * |
/
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University Name * |
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ADDITIONAL
INFORMATION |
| Email* |
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Mobile No.* |
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Passport No |
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Aadhar Card No. |
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APPLY FOR NOC
(OPTIONAL) |
| Apply for NOC |
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Council Name |
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