Name

Father's Name

E-mail Address

Present Address

Gender

MaleFemale

Religion

Status

MarriedUnmarried

Nationality

Mobile No

Mobile No (Optional)

Birth Date

Examination Passed

Name of University/School

Passing Year

Subjects

Marks Obtained

%age Obtained

Apply Course

—Please choose an option—Nursing CoursesNanny CoursesPharmacy CoursesParamedical Sciences Courses

[group NursingCourses]
—Please choose an option—B.Sc (NURSING)GNM (GENERAL NURSING & MIDWIFERY)POST BASIC B.SC NURSINGANM (AUXILIARY NURSE MIDWIFERY)MPHW (Multi Purpose Health Worker)Emergency-Cum-Ambulance AttendantOperation Theatre AttendantHospital and Home Based Care AttendantHome Based Care Helper
[/group]

[group NannyCourses]
—Please choose an option—DIPLOMA IN NANNYCAREGIVER NANNY PROGRAM
[/group]

[group PharmacyCourses]
—Please choose an option—DIPLOMA IN PHARMACY (UP-VAID)
[/group]

[group ParamedicalSciencesCourses]
—Please choose an option—Diploma in Physiotherapy (DPT)Bachelor in Physiotherapy (BPT)DIPLOMA IN MEDICAL LABORATORY TECHNOLOGY (DMLT)B.SC MEDICAL LAB TECHNOLOGY (MLT)DIPLOMA IN DOTTBachelor in Operation Theatre (OT)DIPLOMA IN ANAESTHESIABACHELOR IN ANAESTHESIADIPLOMA IN RADIO & IMAGING TECHNOLOGY (DRIT)B.SC. IN RADIO & IMAGING TECHNOLOGY (RIT)DIPLOMA IN DIALYSISDiploma in Critical Care ManagementDiploma Emergency &Trauma Care TechnicianDiploma Hospital AdministrationDiploma Hospital Waste ManagementDiploma Sanitary Health Inspector
[/group]

Prospectus & Form Fees

Passport Size Image

Metric(10th) Certificate

10+2 (12th) Certificate

ID Proof (Aadhar Card/Pan Card/Driving License/etc

In case if you can't upload documents, mail on this email (amritsarcollegeofnursing@gmail.com)