UNIVERSITY OF JAMMU
"A+' Grade University Accredited by NAAC
COLLEGES DEVELOPMENT COUNCIL

ADMISSION IN POST BASIC B.Sc. NURSING DEGREE COURSE IN UNAIDED NON GOVT. COLLEGE AFFILIATED TO
UNIVERSITY OF JAMMU, JAMMU. SESSION 2018-19

Name of the Candidate
Father Name
Mother Name

Date of Birth
(DD-MM-YY)

Pin Code
Address For Correspondence
Telephone /Mobile No .
Email:
 
You are applying under which Quota : Open Management
Are you a permanent Resident of J&K State : Yes No
Do you belong to the Following categories (if any) Choose the Relevant one
General Schedule Caste Schedule Tribe
Have you Obtained a certificate in General Nursing and Midwifery : Yes No
Are you a trained male nurse : Yes No
 
Name of the
Examination
Name of the Board / University
Roll No.
Regd No.
Year/
Session
Marks
Obtained
Total
Marks
%age
Matriculation *
Hr.Sec.Part-II *
Any other qualification
Religion Gender Areas Status Martial Status Differently enabled (If applicable)
Choice of College (First Preference) : BEE ENN College of Nursing Rajiv Gandhi College of Nursing Stephens Institute of Paramedical Science
Choice of College (Second Preference) : BEE ENN College of Nursing Rajiv Gandhi College of Nursing Stephens Institute of Paramedical Science
Choice of College (Third Preference) : BEE ENN College of Nursing Rajiv Gandhi College of Nursing Stephens Institute of Paramedical Science
Optional Fields Upload If you want
Attach unattested Photograph within the Space Provided

Should be in Image, Size should be less than 150kb
Full Signature of the Candidate
Should be in Image, Size should be less than 50kb

Left Hand Thumb Impression

Should be in Image, Size should be less than 50kb

Attach Tenth Class Diploma For Verification of Date of Birth :
Should be in Image, Size should be less than 150kb
Attach Hr.Sec Part II Mark Sheet :
Should be in Image, Size should be less than 150kb
Verify your Message  Turing Number
I hereby certify that I have gone through the above information submitted by me. The information is correct and precise and nothing has been concealed. I understand that any point if it is found otherwise, my candidature is liable to be cancelled.
 
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