GNM Nursing Admission Form

Important Information

Fill all mandatory fields marked with (*)
Upload clear scanned copies of documents (PDF/JPG format, max 2MB each)
Ensure all information is accurate before submission
Keep a copy of the submitted form for your records

Personal Information

First Name

Middle Name

Last Name

Date of Birth

Gender

Blood Group

Contact Information

Mobile Number

Whatsapp Number

Email Address

Address Information

Permanent Address

District

State

PIN Code

Correspondence address is same as permanent address

Educational Qualification

Board/University (10+2)

School/College Name

Year of Passing

Percentage/CGPA

Stream/Subjects

Guardian Information

Father's Name

Mother's Name

Guardian's Occupation

Annual Family Income

Guardian's Mobile

Declaration

I hereby declare that all the information provided in this form is true and correct to the best of my knowledge. I understand that any false information may result in cancellation of my admission.

After submission, you will receive a confirmation email with your application details.