Poyanil Nursing College Application Form

Online Registration

PERSONAL INFORMATION

Upload Applicant Passportsize Photo (JPG) (Max Size 100KB): *:

Sex :

Male Female

DOB:

Marital Status:

Married Single

DETAILS OF QUALIFYING EXAMINATION:

PARENTS PROFILE:

FATHER/GUARDIAN/MOTHER

ADDRESS FOR COMMUNICATION:

Management/ NRI Quota Details?

Apply for Management/NRI Quota?

Management Quota NRI Quota

APPLICATION FEES Demand Draft(DD) DETAILS:

Upload Application Fees DD COPY (PDF/JPG/PNG)
* (Max Size 100KB)::

Upload Signature (JPG/PNG) * (Max Size 100KB)::

OPTION REGISTRATION

Course Applying For :

DETAILS OF QUALIFYING EXAMINATION:

Subject	Marks Secured	Maximum of Marks	% of Marks
Part I English
Physics
Chemistry
Biology

Upload +2 Marksheet (PDF/JPG/PNG) * (Max Size 100KB):

I hereby, declare as to the details provided in the application are true to my best of knowledge.

NOTICE: After Submit You'll get the application in PDF Format. Kindly Download it and Submit hard copy of this application form along with DD at college office.