Vijay Institute of Nursing
  1. Home
  2. Registration Form
Vijay Institute of Nursing
Opp. Bhuteshwar Mandir, Basai Road, Gurgaon - 122002
Recongnized by HNRC & INC, New Delhi
PT. B.D.S UNIVERSITY OF HEALTH SCIENCE, ROHTAK
Application for REGISTRATION To ANM/GNM/MPHW/Post B.Sc Nursing/B.Sc Nursing/M.Sc Nursing/D.Pharma
REGISTRATION FORM

Profile Photo

Instruction:

  • Candidate should read the Rules & Regulations before filling the form.
  • Incomplete form will not be entertained.
* Mandatory
  • Name *
  • Father's Name *
  • Father's Occupation,Organisation Add & Phone:*
  • Guardian's Name
  • Date of Birth
  • Category of the applicant. Nationality
  • Present Address for correspondence
  • Phone no
  • Email Id
  • Permanent Address
  • Academic Qualifications (Starting from Matriculations onwards)
S. n o. Class with
Roll no.		 University/
Board		 Name of School/
College 		Division & %
with marks
obt. Total		 Year of
passing		 Subjects
  • 10. Any working Experience
    (attach Certificates)
  • 11. Marital Status: Single, Widow! Divorced (without encumbrances)
  • 12. Hobbies such as Music, Dance, Painting, Sports etc
  • I wish to apply for admission to the first year Bsc(H), PBsc(H), GNM & ANM
  • I have read the rules and I have understood the same. I understand that individual intimation of the selection will not be sent to me
  • The decision of the selection board of the school will be final and binding on me in all respects.
Back to top