AP Nursing Counsil
 
 

Other States - NEW  REGISTRATION

Name (as per S.S.C / Inter  Memo)
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

EDUCATION DETAILS

Qualification  Passed in the Year Month Hall ticket No.
X
XII
GNM

REGISTRATION NUMBERS

NURSE REG NO
 REGISTRATION VALID UPTO
MID REG NO
 MID REGNO VALID UPTO
PHN REG NO
 PHN REGNO VALID UPTO

CATEGORY OF CERTIFICATES    M.Sc Nursing     B.Sc(4years) Nursing   B.Sc(2years) Nursing   G.N.M.    Health Worker
Course  training at
Course period 
Held in the year / Month  /
University  Name / State

ADDITIONAL INFORMATION
Email
Mobile No.

Passport No

Aadhar  Card No.
Instructions
NOTE: PRESCRIBED REGISTRATION FEE
Fee-1000
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
 
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