Admission Registration Form Candidate Name Candidate First Name * Middle Name Last Name Age * Sex * SelectMaleFemaleOther Date of Birth * Father's Name Father/Guardian 's First Name * Father/Guardian 's Middle Name Father/Guardian 's Last Name Mother's Name Mother's First Name * Mother's Middle Name Mother's Last Name Student Mobile Number * Father's Mobile Number * Email Address Address Line 1 * Address Line 2 City * District * State * Course Interested * SelectB.Sc NursingGNM Nursing Education X - Year of Passing * X - Name of Board/School * X - Percentage/CGPA * X - Subjects * XII - Year of Passing * XII - Name of Board/School * XII - Percentage/CGPA * XII - Subjects * Submit
