Shahnaj [SJ] College of Nursing

Admission Form

Full Name *

Aadhar No. *

DOB*

Nationality*

Gender*

Blood Group*

Mobile No. *

Email Id *

Category*

Marital Status*

Father Name *

Father Occupation

Mother Name*

Parents Mobile No

Address *

State *

City*

Course Applied

Educational Qualification (optional)

Exam Passed	Board / University	Year of Passing	Subject	Total %
10th
10th
10 + 2 Pass
10 + 2 Pass
Graduation

Note: Candidate those are waiting for their results can write their expecting percentage.

I here by declare that all the information as given above are correct to the best of my knowledge and belief. By clicking Booking you agree to our terms of service *

Upload Photograph:(Max Size 300 KB, Only jpg, png allowed) optional

Signature Upload:(Max Size 300 KB, Only jpg, png allowed) optional