{"id":1233,"date":"2026-07-04T15:35:04","date_gmt":"2026-07-04T10:05:04","guid":{"rendered":"https:\/\/www.shifanursingcollege.com\/newsite\/?page_id=1233"},"modified":"2026-07-06T11:08:32","modified_gmt":"2026-07-06T05:38:32","slug":"application-form","status":"publish","type":"page","link":"https:\/\/www.shifanursingcollege.com\/newsite\/application-form\/","title":{"rendered":"Application Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1233\" class=\"elementor elementor-1233\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8853655 e-con e-atomic-element e-div-block-base e-8853655-9221d60 \" data-id=\"8853655\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"8853655\">\n    \t\t\t<h1 data-interaction-id=\"dd8a4b9\" class=\"e-dd8a4b9-d3eb3b3 e-heading-base\"><strong>College Application Form<\/strong><\/h1>\n\t\t\t\t<div class=\"elementor-element elementor-element-39a515c elementor-widget elementor-widget-button\" data-id=\"39a515c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.shifanursingcollege.com\/newsite\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Home \/ Admission Application<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-fc6a8b1 e-con-full e-flex e-con e-parent\" data-id=\"fc6a8b1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ca52e63 e-flex e-con-boxed e-con e-child\" data-id=\"ca52e63\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9e29962 e-flex e-con-boxed e-con e-child\" data-id=\"9e29962\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7369856 elementor-widget elementor-widget-image\" data-id=\"7369856\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"211\" src=\"https:\/\/www.shifanursingcollege.com\/newsite\/wp-content\/uploads\/2026\/06\/logo-scaled-275x57.png\" class=\"attachment-large size-large wp-image-34\" alt=\"Shifa Nursing College\" srcset=\"https:\/\/www.shifanursingcollege.com\/newsite\/wp-content\/uploads\/2026\/06\/logo-scaled-1024x211.png 1024w, https:\/\/www.shifanursingcollege.com\/newsite\/wp-content\/uploads\/2026\/06\/logo-scaled-300x62.png 300w, https:\/\/www.shifanursingcollege.com\/newsite\/wp-content\/uploads\/2026\/06\/logo-scaled-768x158.png 768w, https:\/\/www.shifanursingcollege.com\/newsite\/wp-content\/uploads\/2026\/06\/logo-scaled-1536x316.png 1536w, https:\/\/www.shifanursingcollege.com\/newsite\/wp-content\/uploads\/2026\/06\/logo-scaled-2048x422.png 2048w, https:\/\/www.shifanursingcollege.com\/newsite\/wp-content\/uploads\/2026\/06\/logo-scaled-275x57.png 275w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b47820 elementor-widget elementor-widget-heading\" data-id=\"8b47820\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\nADMISSION FORM<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-11e79d4 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"11e79d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SESSION 2026 - 2027<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5929dea e-con-full e-flex e-con e-child\" data-id=\"5929dea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ca5b3aa e-flex e-con-boxed e-con e-child\" data-id=\"ca5b3aa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eb4783e elementor-widget elementor-widget-shortcode\" data-id=\"eb4783e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1275-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1275\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/newsite\/wp-json\/wp\/v2\/pages\/1233#wpcf7-f1275-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1275\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1275-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"cf7-wrapper form-wrapper shadow-sm\">\n\t<div class=\"section-container mb-5\">\n\t\t<h4 class=\"section-title\">BASIC COURSE INFORMATION\n\t\t<\/h4>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">Application No<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-application\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"Leave blank if unknown\" value=\"\" type=\"text\" name=\"your-application\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">Academic Year<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-academic-year\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" readonly=\"readonly\" aria-invalid=\"false\" value=\"2026-2027\" type=\"text\" name=\"your-academic-year\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">Course Applied For *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-course\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select custom-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-course\"><option value=\"\">Select Course<\/option><option value=\"DGNM (Diploma in General Nursing &amp; Midwifery)\">DGNM (Diploma in General Nursing &amp; Midwifery)<\/option><option value=\"B.Sc Nursing (4 Years)\">B.Sc Nursing (4 Years)<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"section-container mb-4\">\n\t\t<h4 class=\"section-title\">BASIC PROFILE OF THE APPLICANT\n\t\t<\/h4>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">1. Name Of The Applicant * (In Block Letters)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">2. Age *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"your-age\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">3. Gender *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select custom-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-gender\"><option value=\"\">Select<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">4. Date Of Birth *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"dd-mm-yyyy\" value=\"\" type=\"date\" name=\"your-dob\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">5. Place Of Birth *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-place\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-place\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">6. Marital Status *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-marital-status\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select custom-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-marital-status\"><option value=\"\">Select<\/option><option value=\"Single\">Single<\/option><option value=\"Married\">Married<\/option><option value=\"Divorced\">Divorced<\/option><option value=\"Widowed\">Widowed<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">7. Mother Tongue *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-mother-tongue\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-mother-tongue\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">8. Nationality *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-nationality\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"Indian\" type=\"text\" name=\"your-nationality\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">9. Religion *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-religion\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select custom-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-religion\"><option value=\"\">Select<\/option><option value=\"Hindu\">Hindu<\/option><option value=\"Muslim\">Muslim<\/option><option value=\"Christian\">Christian<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">10. Community *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-community\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select custom-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-community\"><option value=\"\">Select<\/option><option value=\"BC\">BC<\/option><option value=\"MBC\">MBC<\/option><option value=\"SC\">SC<\/option><option value=\"ST\">ST<\/option><option value=\"OC\">OC<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">11. Caste *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-caste\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-caste\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">12. Blood Group *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-blood-group\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select custom-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-blood-group\"><option value=\"\">Select<\/option><option value=\"A+\">A+<\/option><option value=\"A-\">A-<\/option><option value=\"B+\">B+<\/option><option value=\"B-\">B-<\/option><option value=\"O+\">O+<\/option><option value=\"O-\">O-<\/option><option value=\"AB+\">AB+<\/option><option value=\"AB-\">AB-<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">13. Adhar Number *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-aadhaar\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-aadhaar\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">14. PAN Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-pan\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-pan\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">15. Mobile Number *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">16. Email Id *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"section-container mb-4\">\n\t\t<h4 class=\"section-title\">PARENT \/ GUARDIAN DETAILS\n\t\t<\/h4>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">1. Father's Name *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-father-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-father-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">2. Occupation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-father-occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-father-occupation\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">3. Contact Number *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-father-contact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-father-contact\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">4. Mother's Name *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-mother-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control custom-input\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-mother-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">5. Occupation<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-mother-occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-mother-occupation\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">6. Contact Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-mother-contact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-mother-contact\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">7. Annual Family Income: \u20b9<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-family-income\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-family-income\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">8. Guardian Name (If Applicable)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-guardian-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-guardian-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">9. Guardian Contact Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-guardian-contact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-guardian-contact\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"section-container mb-4\">\n\t\t<h4 class=\"section-title\">COMMUNICATION ADDRESS\n\t\t<\/h4>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-6 mb-4\">\n\t\t\t\t<h5 class=\"address-title\">PERMANENT ADDRESS:\n\t\t\t\t<\/h5>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-permanent-door\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"Door No\/Street\" value=\"\" type=\"text\" name=\"your-permanent-door\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-permanent-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"Village\/Town\/City\" value=\"\" type=\"text\" name=\"your-permanent-city\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-permanent-district\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"District\" value=\"\" type=\"text\" name=\"your-permanent-district\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-permanent-state\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"State\" value=\"\" type=\"text\" name=\"your-permanent-state\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-permanent-pincode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"PIN Code\" value=\"\" type=\"text\" name=\"your-permanent-pincode\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 mb-4\">\n\t\t\t\t<h5 class=\"address-title\">PRESENT ADDRESS:\n\t\t\t\t<\/h5>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-present-door\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"Door No\/Street\" value=\"\" type=\"text\" name=\"your-present-door\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-present-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"Village\/Town\/City\" value=\"\" type=\"text\" name=\"your-present-city\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-present-district\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"District\" value=\"\" type=\"text\" name=\"your-present-district\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-present-state\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"State\" value=\"\" type=\"text\" name=\"your-present-state\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"mb-3\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-present-pincode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"PIN Code\" value=\"\" type=\"text\" name=\"your-present-pincode\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"section-container mb-4\">\n\t\t<h4 class=\"section-title\">EDUCATIONAL QUALIFICATION: FOR DGNM \/ B.SC NURSING (HSC MANDATORY)\n\t\t<\/h4>\n\t\t<div class=\"table-responsive mb-4\">\n\t\t\t<table class=\"table table-bordered align-middle\">\n\t\t\t\t<thead style=\"background-color: #f8f9fc; color: #2b498f;\">\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<th class=\"py-3\" style=\"font-size: 0.9rem;\">\n\t\t\t\t\t\t\t<p>Examination\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"py-3\" style=\"font-size: 0.9rem;\">\n\t\t\t\t\t\t\t<p>Board\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"py-3\" style=\"font-size: 0.9rem;\">\n\t\t\t\t\t\t\t<p>Year\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"py-3\" style=\"font-size: 0.9rem;\">\n\t\t\t\t\t\t\t<p>Total Marks\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"py-3\" style=\"font-size: 0.9rem;\">\n\t\t\t\t\t\t\t<p>% of Marks\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"py-3\" style=\"font-size: 0.9rem;\">\n\t\t\t\t\t\t\t<p>Register No\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/thead>\n\t\t\t\t<tbody>\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td class=\"fw-bold text-dark\" style=\"font-size: 0.9rem;\">\n\t\t\t\t\t\t\t<p>SSLC (10th)\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-sslc-board\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-sslc-board\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-sslc-year\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-sslc-year\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-sslc-marks\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-sslc-marks\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-sslc-percent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-sslc-percent\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-sslc-register\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-sslc-register\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td class=\"fw-bold text-dark\" style=\"font-size: 0.9rem;\">\n\t\t\t\t\t\t\t<p>HSC (12th)\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-hsc-board\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-hsc-board\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-hsc-year\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-hsc-year\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-hsc-marks\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-hsc-marks\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-hsc-percent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-hsc-percent\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-hsc-register\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-hsc-register\" \/><\/span>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">Group Studied *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-group\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select custom-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-group\"><option value=\"\">Select<\/option><option value=\"Science (Maths Bio)\">Science (Maths Bio)<\/option><option value=\"Science (Bio)\">Science (Bio)<\/option><option value=\"Vocational\">Vocational<\/option><option value=\"Others\">Others<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">PCB Percentage<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-pcb\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" placeholder=\"Percentage of marks obtained\" value=\"\" type=\"text\" name=\"your-pcb\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"section-container mb-4\">\n\t\t<h4 class=\"section-title\">UPLOAD THE REQUIRED DOCUMENTS\n\t\t<\/h4>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Passport Size Photo *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-passport-photo\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"your-passport-photo\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">S.S.L.C Marks (As Per Mark Sheet)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-sslc-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-sslc-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">+2 Mark Sheet (As Per Mark Sheet)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-hsc-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-hsc-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Transfer Certificate<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-transfer\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-transfer\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Community Certificate<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-community-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-community-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Aadhaar Copy<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-aadhaar-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-aadhaar-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Family Details<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-family-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-family-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Medical Fitness Certificate<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-medical-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-medical-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Migration Certificate<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-migration-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-migration-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Eligibility Certificate<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-eligibility-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-eligibility-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4 mb-4\">\n\t\t\t\t<div class=\"upload-box\">\n\t\t\t\t\t<p><label class=\"upload-label\">Income Certificate (If Applicable)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-income-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control form-control-sm\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"your-income-file\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"section-container mb-4\">\n\t\t<h4 class=\"section-title\">PAYMENT DETAILS\n\t\t<\/h4>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">Application Fee Amount<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-fee\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control custom-input\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-fee\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t<p><label class=\"form-label\">Mode Of Payment *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-payment\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-select custom-select\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-payment\"><option value=\"\">Select Mode<\/option><option value=\"Online method\">Online method<\/option><option value=\"Offline method\">Offline method<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"section-container mb-4\">\n\t\t<h4 class=\"section-title\">DECLARATION BY CANDIDATE \/ PARENT\n\t\t<\/h4>\n\t\t<div class=\"bg-light p-3 rounded mb-4\" style=\"font-size: 0.85rem; color: #6c757d; background-color: #f8f9fc !important;\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-declaration\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-declaration\" value=\"1\" class=\"me-2\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I Hereby Declare That The Information Provided Above Is True And Correct To The Best Of My Knowledge. I Agree To Abide By The Rules And Regulations Of Shifa Nursing College And Follow All Academic, Clinical, And Disciplinary Norms.<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"mt-5 submit-btn-wrapper\">\n\t\t<div class=\"submit-icon-badge\">\n\t\t\t<p><i class=\"fas fa-paper-plane\"><\/i>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn custom-btn w-100 py-3 fs-5 fw-bold\" type=\"submit\" value=\"Submit Application\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>College Application Form Home \/ Admission Application ADMISSION FORM SESSION 2026 &#8211; 2027<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1233","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.shifanursingcollege.com\/newsite\/wp-json\/wp\/v2\/pages\/1233","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.shifanursingcollege.com\/newsite\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.shifanursingcollege.com\/newsite\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.shifanursingcollege.com\/newsite\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.shifanursingcollege.com\/newsite\/wp-json\/wp\/v2\/comments?post=1233"}],"version-history":[{"count":34,"href":"https:\/\/www.shifanursingcollege.com\/newsite\/wp-json\/wp\/v2\/pages\/1233\/revisions"}],"predecessor-version":[{"id":1309,"href":"https:\/\/www.shifanursingcollege.com\/newsite\/wp-json\/wp\/v2\/pages\/1233\/revisions\/1309"}],"wp:attachment":[{"href":"https:\/\/www.shifanursingcollege.com\/newsite\/wp-json\/wp\/v2\/media?parent=1233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}