SCHOOL OF NURSING SATRIBARI CHRISTIAN HOSPITAL Admission Form
Candidate's Details
Candidate Name:
Father Name:
Mother Name:
Religion:
Community:
Date Of Birth:
Nationality:
Contact Number:
Alternate Contact Number:
Email:
Permanent Address
Address:
Lane:
House Number:
City:
State:
District:
Pin Code:
Correspondence Address
Address:
Lane:
House Number:
City:
State:
District:
Pin Code:
Local Guardian's Details
Address:
Lane:
House Number:
City:
State:
District:
Pin Code:
Contact Number:
Email:
Qualifications
Examination
School/College
Board/University
Stream
Year
Marks Obtained
Aggregate (%)
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Other Qualification: Languages Known:
Attachments
Admit Card of Class X
Mark Sheets of Class X
Admit Card of Class XII
Mark Sheets of Class XII
Pass Certificates of Class X
Pass Certificates of Class XII
Birth Certificate
Caste Certificate
Voters ID/Adhaar card
Enclose all Vaccination Certificates.
Passport Size Photo
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