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Application for New Institution Affiliation / Seat Enhancement
Fields marked with *  are mandatory
Institution Details
Institution Type*   Recognised By INC *
Institution Name * District*
Address* Pin No.*
Mobile Number* Email *
Fax Number * Website
(for ex. https://www.google.com)
Institution Code(Given by INC)* File No. & Date *  
Enter "NEW" in case of New Institute
Number of all Nursing Programmes offered by the Institution *
Trust/ Society/Mission/Company Details
Name of the Trust/
Society/Mission/Company*
Trust/ Society/Mission/Company Address* Pin No.*
Registration Number* Registration Date*
Executive Body Member Details
SnoNameDesignationAge (in years) 
1 * * *
Building Details
Is Own Building* Built up area of Teaching blocks(Sq. feet)*
Whether the Hostel has its own Building* Built up area of Hostel Block(Sq. feet)*
Laboratory Facilities for all the nursing Programs* Bus Facility*
Bus Facility Type*
Library Details
No. of Books* No. of Newspaper/Magazines*
No. of Journals*
SnoCourseFirst INC Permission Date
(DD/MM/YYYY)
No of Seats By INCNo. of Student 
1 * * * *
SnoHospital TypeHospital NameNo of BedsPercentage (%) of Bed Occupancy 
1 * * * *
SnoCourseSize of the Laboratory(Sq.Ft)Equipments and ArticlesDummy and Dolls 
1 * * * *
New/Seat Enhancement
INC Dispatch No. INC Dispatch Date
Additional Details
Is Scholarship Details available*
Is D & F Consent Letter Available*
Is INC Permission and State NOC Available*
Declaration*
    We hereby declare that the information filled by us is true and complete as per our knowledge . If any information provided by us is found false or incorrect then affiliation will be disqualified by the Council.