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DR. SHYAM LAL THAPAR COLLEGE OF NURSING
ANM
GNM
Certificate Course
B.Sc Nursing
Post Basic B.Sc Nursing
M.Sc Nursing
Application form for ANM
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Academic Information
10th
University/Board
Year of Passing
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Total Marks
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Percentage
12th
University/Board
Stream
Year of Passing
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Total Marks
Obtained Marks
Percentage
Application form for GNM
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Full Name
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Mother's Name
Date of Birth
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Male
Female
Other
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Email Address
Permanent Address
Aadhaar Card No.
Caste/Category
Academic Information
10th
University/Board
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
12th
University/Board
Stream
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
Application form for Certificate Course
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Caste/Category
Academic Information
10th
University/Board
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
12th
University/Board
Stream
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
Application form for B.Sc (N)
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Full Name
Father's Name
Mother's Name
Date of Birth
Gender
Male
Female
Other
Contact Information
Phone Number
Email Address
Permanent Address
Aadhaar Card No.
Caste/Category
Academic Information
10th
University/Board
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
12th
University/Board
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
Entrance Test (PPMET)
Appeared
Select
Yes
No
Roll No.
Total Marks
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Percentile
Application form for Post Basic B.Sc (N)
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Full Name
Father's Name
Mother's Name
Date of Birth
Gender
Male
Female
Other
Contact Information
Phone Number
Email Address
Permanent Address
Aadhaar Card No.
Caste/Category
Academic Information
10th
University/Board
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
12th
University/Board
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
GNM
University/Board
College Name
Year of Passing
Final Year Roll No.
Total Marks
Obtained Marks
Percentage
RN/RM
Entrance Test (PPBNET)
Appeared
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Yes
No
Roll No.
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Application form for M.Sc (N)
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Full Name
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Mother's Name
Date of Birth
Gender
Male
Female
Other
Contact Information
Phone Number
Email Address
Permanent Address
Aadhaar Card No.
Caste/Category
Academic Information
10th
University/Board
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
12th
University/Board
Year of Passing
Roll No.
Total Marks
Obtained Marks
Percentage
RN/RM
B.Sc (N) / Post Basic B.Sc (N)
University/Board
College Name
Year of Passing
Final Year Roll No.
Total Marks
Obtained Marks
Percentage
Total Experience (Clinical)
Total Experience (Teaching)
Entrance Test (PMNET)
Appeared
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Yes
No
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