Sunder Devi Nursing College, Bhopal
Central India's Fastest Growing Private Nursing College
1. Name of Applicant: *
2. Father’s Name: *
3. Mother’s Name: *
4. Date of Birth (DD/MM/YY): * Sex: MF
5. Caste: * Nationality: *
6. Category: GeneralS.C.S.T.OBCOthersHandicapped (attached certificate):
7. Student Aadhar number: * Parent Aadhar number: *
8. Samagra id: *
9. Permanent Add: * Distt: * State: * Pin: *
10. Local Add: Distt: State: Pin:
9. Contact No.: * Guardian:
11. Student Email id: Parent Email id:
12. Academic Qualification:
13. PCBE Marks & Percentage (12th)
13. Declaration of candidate: (a) I S/O, D/O W/O hereby certify that I am applying for the above mentioned course in the Sunder Devi Nursing College. The Information mentioned above is correct. I understand that payment once made to a Sunder Devi Nursing College will not be refunded at any circumstance. I will obey the rules and regulation throughout the course, once admitted to the college. (b) If I am found taken admission in any other Institution/Component Authority in that case Institution/University can taken any disciplinary action against admission. (c) I will be regular student of Sunder Devi Nursing College and will not do any occupation during the course. (d) All the documents are submitted by me are true in the best of my knowledge. If any mistake is found I will be responsible for the same.
Date: 30/05/2023
Photo of Applicant: *
Signature of Applicant: *
Enclose Documents: -