Nursing Training Hostel in Jalandhar
Top Nursing School North India
 
 
Admission Form

 

Sir,
I am desirous to seek admission in courses of your institution and submitting my Bio-data asin the following:
 
Name of applicant.
   
Applicant’s Father Name:
   
Applicant's Mother Name:
   
Full Permanent Address
   
Phone
   
Correspondence Address:
   
Mobile
   
Name of the Medical course:
   
Date of Birth
   
Nationality:
   
Marital Status
   
Sex:
   
State if belong to SC/BC/ST:
   
Educational Qualification:
 
RN No RM No.  Dated   Council  
 
 
 
Other Courses:
 
Any extra Curricular Activity or any distinction in studies if obtained
 
 
Whether applied for admission to other institutions, different courses if so please give details
 
 
 
 
 
 
 
Indian Medical Institute of Nursing Near Bidhipur Railway Phatak,
Jalandhar City - 144 011 (Punjab) INDIA Tel: +91-181-2671522
Mob : +91-08146666134, 08146666135
Fax: +91-181-2672013 / Email:iminursing@gmail.com
 
 
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