Student Registration Form for Basic B.Sc Nursing 1st Year Students.

Surname Father Name First Name
Mother Name
Date of Birth
Nationality State
Cast-Subcaste
Blood Group
Students Mobile No
Last College Attended
Passport Size Photo
Details of Exams Passed:
Board Exams Exam Seat No Month & Year Total Marks 0% Total Marks Marks PCBE Total PCBE Total
PHY CHEM BIO ENG
10th          
12th
The marks should be calculated out of 100
MHT-CET
Roll No.
MHT-CET
Marks
CET-PHY
Marks
CET-CHE
Marks
CET-BIO
Marks
AMUPMDC
Roll No
Total Marks
Category
 Open SC ST DT NT VJ SBC OBC EBC
Name and Address with Pin Code of parent (Telephone No. along with STD code & Mobile No. )
House / Flat No Society / Area    
Street Name District City
Pin Code Tel. No. with STD Mobile No
Hostel Accommodation needed:  Yes No
Details about the Organization where parents are working
Name of the Organization    
Telephone No. Mobile No
 

Total Annual Income of Father Total Annual Income of Mother