Name: GNM
SKU: 219
Price: 20000.00 INR
Availability: InStock

1.PERSONAL DETAILS:

NAME OF APPLICANT:*

DATE OF BIRTH :

EMAIL ID :

NATIONALITY :

BLOOD GROUP :

SEX :

CATEGORY :

MOBILE :

LANDLINE WITH STD CODE :

2. ADDRESSES

A. PERMANENT ADDRESS

PIN CODE

B. ADDRESS FOR CORRESPONDENCE (IF DIFFERENT)

PIN CODE

3. DETAILS OF GUARDIANS*

FATHER'S NAME :

FATHER'S OCCUPATION:

FATHER'S ANNUAL INCOME :

FATHER'S CONTACT NO :

MOTHER'S NAME:

MOTHER'S OCCUPATION:

MOTHER'S ANNUAL INCOME :

MOTHER'S CONTACT NO :

X TH EXAM PASSED / APPEARED

YEAR OF PASSING :

BOARD / COUNCIL :

MEDIUM :

DIVISION GRADE:

SUBJECTS :

Xii TH EXAM PASSED / APPEARED

YEAR OF PASSING :

BOARD / COUNCIL :

MEDIUM :

DIVISION GRADE:

SUBJECTS :

GRADUATION EXAM PASSED / APPEARED

YEAR OF PASSING :

BOARD / COUNCIL :

MEDIUM :

DIVISION GRADE:

SUBJECTS :

REFEREED BY :

PHOTO:

UPLOAD SIGNATURE:

DECLARATION

Yes,I HEREBY DECLARE THAT THE INFORMATION GIVEN BY ME IS TRUE TO THE BEST OF MY KNOWLEDGE.

GNM

GNM

GNM Nursing

1.PERSONAL DETAILS:

2. ADDRESSES

3. DETAILS OF GUARDIANS*

X TH EXAM PASSED / APPEARED

Xii TH EXAM PASSED / APPEARED

GRADUATION EXAM PASSED / APPEARED

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