COURSE ENQUIRED FOR *
Date: 05/03/2021
NAME OF APPLICANT *
MOBILE NO. *
GENDER *
HIGHEST QUALIFICATION *
10+2 PASSING YEAR *
STREAM *
Total %age in 10+2 *
GAP Year (Yes/No) *
MARKS IN PCB
Physics *
Chemistry *
Biology *
Total PCB %age *
NAME OF SCHOOL (LAST ATTENDED) *
DATE OF BIRTH Age min 17yr till Dec 30, Max 30yr for ANM, 35 yrs For Bsc/GNM (General) *
AGE *
FATHER'S NAME *
FATHER'S OCCUPATION *
MOTHER'S NAME *
MOTHER'S OCCUPATION *
CATEGORY *
ANNUAL FAMILY INCOME (IN RS.) *
DOMICILE STATUS *
NATIONALITY *
PERMANENT ADDRESS *
E-MAIL ID *