Application For Forwarding
|
Field's marked with * are mandatory(*
से चिह्नित अनिवार्य हैं)
|
Council Details |
Applying Country Name* |
|
Reference Number(if any) |
|
Country full Address(where you have to go)*
|
|
Forwarding Details
|
Applied Forwarding Course*
|
|
Registration Number*
|
|
|
|
Registration Date
|
(dd/mm/yyyy)
|
Previous Registration Renewal / Registration Expiry Date
|
(dd/mm/yyyy)
|
|
|
|
Registration Status*
|
|
Personal Details
|
Applicant Name
(Don't use Mr./Mrs./Ku.) *
|
|
|
|
Father/ Husband Name*
|
|
Mother Name
|
|
Category *
|
|
Gender *
|
|
DOB *
|
(dd/mm/yyyy)
|
Age (Current Date)
|
|
Marital Status *
|
|
Religion *
|
|
Caste
|
|
Nationality *
|
|
M.P. Domicile*
|
|
|
|
Other State*
|
|
|
|
Mobile Number *
|
|
|
|
Email
|
|
Candidate Address
|
Current Address *
|
|
Pin Code *
|
Permanent Address(Same as Current Address)
|
Permanent Address *
|
|
Pin Code *
|
|
Upload photo
|
Upload your photo *(फोटो डालें)
|
(Min 15 kb -Max. 50 kb)(Only .Jpg Format is Allowed)
|
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 Forwarding Form will be disqualified by the Council.
|
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.
|
|
|