Admission Form

Online Registration for:- B.Sc. (Nursing) 4 years

1. Name of Applicant: *

2. Father’s Name: *

3. Mother’s Name: *

4. Date of Birth (DD/MM/YY): * Sex:

5. Caste: * Nationality: *

6. Category: Handicapped (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:

Name of Education Name of board/University Year of Passing Max Marks/Marks obtained % of Marks PCBE %
High School*
Intermediate*
Others

13. PCBE Marks & Percentage (12th)

Class Obtain Marks Physics Obtain Marks Chemistry Obtain Marks Biology Obtain Marks English PCB % PCBE %
12th*
Subj. wise % *

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: 03/06/2020

Photo of Applicant: *

Signature of Applicant: *

Enclose Documents: -

Sno. Documents Submitted
1. High School mark sheet
2. Higher Secondary mark sheet
3. Caste Certificate
4. Income Certificate
5. Domicile
6. Family Id (Smagra Id)
7. Transfer Certificate
8. Student Aadhar Card with DOB
9. Parent Aadhar Card with DOB
10. Migration
11. Gap Certificate