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Application for Online Faculty Registration
Fields marked with *  are mandatory
Institution Details
Institution Type*   Recognized By INC *
District* Institution Name *
Address* Pin No.*
Mobile Number* Email *
Fax Number * Website
(for ex. https://www.google.com)
Institution Code(Given by INC)* File No *
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 Registration No*
Trust/ Society/Mission/   Company Address* Pin No.*
Faculty Details *
Faculty Name Designation Qualification University Passing Year(YYYY) RN & RM No Exp (in months) Joining Date
(DD/MM/YYYY)
Previous Institute Relieving Date
(DD/MM/YYYY)
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 Online Faculty Registration will be disqualified by the Council.