M.Sc. Nursing
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APPLICATION FORM
INSTRUCTIONS TO APPLICANTS
1. Candidate should carefully read the rules for admission from website ( http://bhaikakauniv.edu.in , http://ghpscn.bhaikakauniv.edu.in ) before submitting the Application form.

2. Every entry in the form must be completed. Incomplete application form is liable to be rejected.

3. No Application for admission will be considered unless it is accompanied by the attachments of necessary documents as specified.

4. For any queries regarding application or form, contact us at 02692-228748, 228550 during 9am to 5pm.
Full Name *
As appearing in the degree certificate.
Date of Birth *
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Age *
Gender *
Citizenship *
Contact Number *
E-mail *
Aadhar Number
Full Name of Father / Husband *
Address of Communication *
Give your full address for communication including Pin Code, District, State and Country
Permanent Address
Leave blank if same as address of communication
ACADEMIC RECORD
First Year, BSc Nursing OR Post Basic Nursing *
Marks Obtained / Out of, No of Attempts, Month & Year of Passing, Name of College, University
Second Year, BSc Nursing RO Post Basic Nursing *
Marks Obtained / Out of, No of Attempts, Month & Year of Passing, Name of College, University
Third Year, BSc Nursing *
Marks Obtained / Out of, No of Attempts, Month & Year of Passing, Name of College, University (Write N/A if not applicable)
Fourth Year, BSc Nursing *
Marks Obtained / Out of, No of Attempts, Month & Year of Passing, Name of College, University (Write N/A if not applicable)
Percentage of Cumulative Marks in 1st, 2nd, 3rd & final year of B.Sc Nursing OR 1st & 2nd year of Post Basic Nursing *
GNC Registration Number / State Nursing Council Registration No *
Date of completion of Internship (If applicable)
Any Additional Qualification
Degree, Subject, College or Institute, University, Year of Passing and Final Year %
DISCLAIMER *
I solemnly declare that I have personally checked and verified all the information filled in this form and that they are correct and that no relevant information of fact is suppressed or omitted. I undertake to abide by the decision / order of the Admission Committee to cancel my admission and / or expel me from the college and or to prosecute me in case any incorrect information or discrepancy is found in this form either at the time of admission or at any time during the course of my study. I hereby agree, if admitted, to conform to various Rules and Regulations of the Nursing Institute in force and that may hereafter made for the governance of the college and I undertake that so long as I am a student of the college I will do nothing either inside or outside the college that will interfere with its orderly governance, discipline and good.
Required
Date of Submitting Form *
MM
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Documents to be Submitted
Please send your below mentioned scan copy of documents and details to our email id info@bhaikakauniv.edu.in along with your name and phone number which you have submitted in this form. Total max size for attachments is 25mb. Please note that for further procedure, sending your documents on our above mentioned email id and payment of form fee Rs 300/- is mandatory. For details regarding online fee payment see our website http://bhaikakauniv.edu.in , ghpscn.http://bhaikakauniv.edu.in


1. Passport Size Photo

2. All Year Mark Sheets of UG Course

3. School Leaving Certificate / Transfer Certificate

4. Passport / Birth Certificate

5. Degree / Passing Certificate

6. Internship Completion Certificate (If applicable)

7. GNC Registration Certificate / Registration Certificate by State Nursing Council

8. Aadhar Card / Voter ID / Driving License (mandatory)

9. Details of Fee Payment (Scan copy / screenshot)
Submit
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