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Application For Forwarding
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| Field's marked with * are mandatory(*
से चिह्नित अनिवार्य हैं)
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| Council Details |
| Applying Country Name* |
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Reference Number(if any) |
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| Country full Address(where you have to go)*
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| Forwarding Details
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| Applied Forwarding Course*
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| Registration Number*
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| Registration Date
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(dd/mm/yyyy)
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Previous Registration Renewal / Registration Expiry Date
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(dd/mm/yyyy)
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| Registration Status*
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| Personal Details
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Applicant Name
(Don't use Mr./Mrs./Ku.) *
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| Father/ Husband Name*
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Mother Name
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| Category *
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Gender *
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| DOB *
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(dd/mm/yyyy)
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Age (Current Date)
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Marital Status *
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Religion *
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| Caste
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Nationality *
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| M.P. Domicile*
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| Other State*
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| Mobile Number *
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| Email
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| Candidate Address
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| Current Address *
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| Pin Code *
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Permanent Address(Same as Current Address)
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| Permanent Address *
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| Pin Code *
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| Upload photo
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Upload your photo *(फोटो डालें)
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(Min 15 kb -Max. 50 kb)(Only .Jpg Format is Allowed)
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| Declaration
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*
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 Forwarding Form will be disqualified by the Council.
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Note:- 1. Candidate must have
to verify thier Original Documents of B.Sc.(N),M.Sc(N),A.N.M.,G.N.M.
from the Nursing Council.
2.Character certificate / Medical certificate and also enclosed & zeroxcopy.
3. Student have to upload current photo.
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