Form Details
Textual details
Application Form For Candidate
Last Qualification
Intermediate
Interested course
B. Sc. Nursing
Personal Details
Aadhar Number
448645444654
Mobile Number
8002890693
Guardian Name
Ganga Mishra
Guardian Mobile No.
776392648
Address

Vill:- Babhanipatti, P.O:- Basuki,Bihari
Madhubani 847305
Bihar
India

Photo & Documents
Upload a Photograph of the Student
Course Details
Type of Course in which student wanting Admission.
Nursing
Select College
DASHRATH PRASAD SINGH INSTITUTE OF HEALTH EDUCATION
Indicate the Session in Which Student is willing to take admission
2023-27
Likely Date up-to which Student will be visiting our Campus
Name of the Staff member you are likely to counsel the student. (Just your suggestion)
Kundan
Indicate the place on which the student will be visiting for completing the formalities of admission along with his parents
DHANHARA CAMPUS, SITAMARHI
Counselling Amount communicated to the Student for this Course by You in Rupees Value
5000.00
Your Incentive According to Agreement
2000.00
Document Details
Upload the Qualifying Examination Marksheet
Upload the proof of date of birth related educational certificate of the Student