anchor-arrow
checkmark
location-pointer
student
team-1
team-2
shake-hands
list-options
gear
graduation
globe
laptop
checklist
acropolis
event
savings
respect-for-all
work-study
military
external-scholarships
grad-scholarships
scholarships
grants
loans
facebook
google-plus
instagram
linkedin2
pinterest
twitter
youtube
chevron-left
chevron-down
chevron-up
chevron-right
chevron-large-left
chevron-large-down
chevron-large-up
chevron-large-right
icon-user-highlighted
icon-users
icon-heart
icon-quote-mark
icon-briefcase
icon-stethoscope
search
line-vertical
straight-lines-path
icon-user
icon-bubble-speach
icon-phone
icon-search
icon-caret
close
google-plus
facebook
instagram
twitter
youtube
linkedin2
pinterest
phone
phone
arrow-l-r
blog_all-categories
blog_campus-news
blog_careers
blog_nursing-today
blog_tips-for-students
apply
Student Registration Form
Fields marked with asterisk
(*)
are required.
Student's Information
Full Name:
*
Class:
*
--Select Class--
10+2
Graduate
Stream:
*
--Select Stream--
Arts
Commerce
Medical
Non-Medical
Date Of Birth:
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Jan
Feb
Mar
Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
Year
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
Gender:
*
--Select Gender--
Male
Female
Marks % in 12th:
*
Marks % in Graduation:
Board/University
Board/University:
*
Father's Name:
*
Mother's Name:
*
Residence Address
Flat/Room/Door/House/Block No:
*
Town/City/Village:
*
State:
*
--Select State--
Afghanistan
Andhra Pradesh
Andaman & Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha (Orissa)
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Country:
*
--Select Country--
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (see Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Email Address:
Mobile/Landline:
*
Choice Of Your Course For Further Studies:
*
--Select Course--
BCA
BBA
B.Com
B.Ed
GNM
ANM
B.Sc(Nursing)Basic
Post Basic B.Sc(Nursing)
Up-Vaid
PGDCA
MBA