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Application Format (Only Female Candidate of Indian Nationality) B.Sc. Nursing/General Nursing &midwifery (GNM) Course: 2014 (Not To Be Sold)

This document provides instructions and an application format for female Indian nationals applying for the B.Sc. Nursing/General Nursing & Midwifery (GNM) course for 2014. The application collects personal information such as name, date of birth, address, caste, educational qualifications, and choice of exam center. It requires a photograph to be attested by a gazetted officer and proof of caste if applicable. The applicant must certify that the information provided is true, and their candidacy could be cancelled if any information is found to be false. An admit card format is also included for the written test and interview.

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ashishgrover80
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33 views

Application Format (Only Female Candidate of Indian Nationality) B.Sc. Nursing/General Nursing &midwifery (GNM) Course: 2014 (Not To Be Sold)

This document provides instructions and an application format for female Indian nationals applying for the B.Sc. Nursing/General Nursing & Midwifery (GNM) course for 2014. The application collects personal information such as name, date of birth, address, caste, educational qualifications, and choice of exam center. It requires a photograph to be attested by a gazetted officer and proof of caste if applicable. The applicant must certify that the information provided is true, and their candidacy could be cancelled if any information is found to be false. An admit card format is also included for the written test and interview.

Uploaded by

ashishgrover80
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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APPLICATION FORMAT

(Only female candidate of Indian nationality)


B.Sc. Nursing/General Nursing &Midwifery (GNM) Course: 2014
(Not to be sold)
Note: Do not put dash (----) in any column or leave it blank.
1. Course which applied for; BSc (Nsg)/General Nursing & Midwifery/ Both
2. (a) Name in full (as per Secondary School Leaving/Metric Certificate)
(Give one box gap between first/Maiden Surname)

(Photo to be attested)
By a Gazetted Officer)

(B) Name of applicant in Hindi: __________________________


3. Date of birth (in Christian Era): _______________
Age as on 01 Aug 2014;__________yrs__________months__________days
(Attach metric certificate for proof)

4. Marital status ; Unmarried/married/divorcee/widow without encumbrances

5. Name of Father/Guardian : ___________________________________________

6. Complete Postal Address : ___________________________________________

7. Permanent Home Address : ___________________________________________

8. Tele No/Mobile No. (with STD code) : __________________________________


E-mail ID : ___________________________________________________________
9. Nationality : Indian ________________ Any other __________________________
10. Caste; General/Scheduled Caste/Scheduled Tribe : ___________________________
(Attach proof in case of SC/ST issued by SDM/Tehsildar)

11.

Sr. Secondary 910+2)/equiv. exam and Percentage of Marks: Passed ( _______%)

/Appearing (Open school student not permitted. Certificate to be attached from Principal
mentioning subject PCB as elective subject in Std 11)
12.

(a) How many times have you appeared/attempted for B Sc/GNM in Armed Forces?
______________________________________________
(b) Selected/not selected ______________________________________________
(c) If selected, furnish details of not joining/termination of Training
______________________________________________________________

13. Have you been trained in BSc (N)/GNM(attach proof and mention details of course
completed)?
14. Choice of Written Test Centre (Three choices are essential)
(1)

_____________________________

(2)

_____________________________

(3)

_____________________________

I hereby certify that the above information is true to the best of my knowledge and if the
authorities find anything false, my candidature is liable to be cancelled at any stage of my
training period.

Place: __________
Date: __________

Signature of Applicant

(To be enclosed with application in triplicate on A4 size paper)

B Sc NURSING /GENERAL NURSSING &MIDWIFERY (GNM)


COURSE: 2014
ADMIT CARD; WRITTEN TEST/ INTERVIEW
(Passport size
Photograph with
Out attestation)
1. Name

___________________________

2. Visible Identification Marks

___________________________

3. Roll No.

___________________________

4. Date of Written Test

___________________________

5. Time of test

0930 Hrs

6. Test Centre

___________________________
___________________________

7. Date of Interview

___________________________

8. Time of Interview

0830 Hrs

9. Interview Centre

___________________________
___________________________

Note: Only Column 1&2 will be filled by the candidate in capital letters. Please carry this letter and
a ball point pen/fountain pen along with you for the written test. Each application must be
accompanied with three sets of admit card on separate sheets of A4 size.(One each for candidate,
DGMS -4B &Exam centre)

Signature of the Issuing Authority


IHQ of MoD (Army)
New Delhi

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