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Online Enquiry Forms
Your Name: Your Mobile No:
Father's Name: Father's Mobile No:
Mother's Name: Mother's Mobile No:
Guardian's Name: Guardian's Mobile No:
Current Qualification: % of Marks:
Address: Distt:
Upload Your Image Pin Code:
 
INTERESTED FOR ADMISSION IN:  (Tick Mark In The Space Given)                 
 
M.Sc(Nursing) B.Sc(Nursing)
Post Basic B.Sc(Nursing) GNM Nursing
 
SOURCE FROM WHERE STUDENT ENQUIRY GENERATED:
SEMINARS IN SCHOOL/COLLEGE THROUGH UNIVERSITY
DIRECT DISPLAY OF HOARDINGS THROUGH WORD OF MOUTH  FROM OTHER STUDENT
RECOMMENDATION BY SOME PARENTS  

IF OTHER, THEN PLEASE SPECIFY
 
DO YOU NEED HOSTEL ACCOMMODATION ?
Yes
No
DO YOU NEED TRANSPORT FACILITY ?

Yes
No
COMMENTS
 
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