GANDHI MEMORIAL NATIONAL COLLEGE OF NURSING

GANDHI MEMORIAL NATIONAL COLLEGE OF NURSING
AMBALA CANTT,HARYANA,133001.

phone

0171-2640321

email

gmncnursing@gmail.com

hostel application form

To
The Principal
G.M.N. College of Nursing
Ambala Cantt
Haryana

Respected sir,

I want to take seat in the hostel of the college I will abide by the rule and regulations of the hostel. My particulars as below:

Name:*

Father Name:*

Date of Birth:*

Mailing Address:*

Pin-Code:*

Mobile No:*

Course:*

Roll No:*

Name & Address of the person who can visit hostel:

1.

Name:*

Address:*

Relationalship:*

Phone:*

Signature:

2.

Name:*

Address:*

Relationalship:*

Phone:*

Signature:

3.

Name:

Address:

Relationalship:

Phone:

Signature:

4.

Name:

Address:

Relationalship:

Phone:

Signature: