Admission Form

GANDHI MEMORIAL NATIONAL, COLLEGE OF NURSING AMBALA CANTT (HR)

Affiliated by

Govt. Haryana (DMER. Panchkula)
Pt. B. D. Sharma University of Health Sciences, Rohtak
Haryana Nurses & Nurse Midwives Council, Panchkula

Instructions

Session*

Fill The Form Neatly & Legibly in English with Your own Writing.
Incomplete Form will not be entertained.
Candidates should read the rule & Regulation before signing the application.

Full Name*

Email Id: *

Phone No.*

Father's Name*

Mother's Name*

DOB*

Gender*

Female

Male

Category*

GEN

SC

BC

OBC

Select Course*

Nationality*

Permanent Address*

Corresponds Address*

Ethnicity*

Pin Code*

Alternate Contact No*

Aadhaar Card No *

Family ID

Qualification

S No.	Exam Passed	Year	Name of Board/University	Max Marks	Obtained Marks	% Percentage