Upkar
school Of Nursing
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info@upkar.edu.in
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Select Course Of Applied
A.N.M
G.N.M
Name of Student (English)
Name of Student(Hindi)
Age As on 31 December Of Year Of Admission
Nationality
Religion
Date Of Birth
Gender
MALE
FEMALE
Category
SC
PH
ST
OBC
GEN
OTHER
Father Name
Mother Name
Email Id
Aadhar No.
Father Occupation
Permanent Address
District.
State
Pin Code
Student Photo
Mobile No
Student Documents
Academic Qualification
Sno.
Exam Passed
Uni./Board/Institute
Stream(PCM/PCB/ARTS)
Year Of Passing
Total Marks
Marks Obtained
% Of Marks
DIV.Grade
1
High School
2
Intermediate
3
Other
Declaration
I Do Solemnly Affirm that the Statement and information Furnished by me as above & Also enclosures submitted are true. if any information is furnished there are found untrue. I Shall be liable to criminal prosecution as well as to forgo my admission to be removed from the institute if already without refunding and fees.