1. Enquiry No
2. Date Of Enquiry
3. Course Interested * Select CourseGNMB.Sc Nursing
4. Mode Of Enquiry * Select ModeWalk-inPhoneWebsiteSocial MediaAgent
5. Counsellor Name
1. Student Name *
2. Gender * SelectMaleFemaleOther
3. Date Of Birth *
4. Age *
5. Mobile Number *
6. WhatsApp Number *
7. Email ID *
1. Father's Name *
2. Mobile Number *
3. Mother's Name *
4. Annual Family Income: ₹
5. Occupation
Year Of Passing
Board
Percentage (%)
Group Studied * SelectBiologyComputerVocational
PCB % (For B.Sc Nursing)
Overall %
Criteria
GNM
B.Sc Nursing
Age (17+ years)
YesNo
12th Passed
PCB Group
Optional
Mandatory
Minimum Marks obtained (45% B.Sc / 40% DGNM)
SC/ST/OBC (40% B.Sc / 35% DGNM)
