GNM Sem 1 Admission

ASHWINBHAI K. PARIKH AND RASIKLAL AND SHAH INSTITUTE OF NURSING.

Basic Details
ABC ID : * માર્ગદર્શન વિડિયો

ABC ID upload : *
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Name of student ( As per Aadhar Card ) : *
Surname : *
Student's First Name : *
Father's Name : *
Mother's Name : *
Full Name :
Father's Full Name : *
Father's Mobile : *
Father's Occupation : *
Yearly Income : *
Gender : *
Marital Status : *
Do you Required Hostel Admission? : *
Catagory : *
Subcast : *
Category Certificate No With date of issue of certificate.
Handicap : *
Birth Place : *
Birthdate : *
Minority *
Non Creamy Layer Certificate (After 01/04/2021 OR Three year valid) With Date
Contact Details
Permanent Address Line 1 : *
Temporary Address Line 2 : *
City/Village : *
Taluka : *
Dist. : *
Pincode : *
State. : *
Nationality : *
Mobile No. : *
Whatsapp No. : *
Student's Email : *
Adhar Card No. : *
Educational Details
Last College Name *
BA Passed University
BA Passed With
Exam Name Pass Year Pass Month Seat No. Total Marks Obtained Marks Result
SEM 5
SEM 6
Class : *
Semester : *
વેક્સીન લીધેલ છે? હા/ ના
Yes No
કઈ વેક્સીન લીધી છે?
covishield covaxin
પ્રથમ ડોઝ તા.
બીજો ડોઝ તા.
Certificate No.
Admission Year : *
Transportation Types મુસાફરી નો પ્રકાર :
Vehicle No.(if travel by two whiler) જો ટુ વ્હીલર લઈને આવવાના હોય તો વ્હીલર નં.
Licence No. લાઇસન્સ નં
Blood Group બ્લડ ગ્રુપ
Student Bank Details
Bank Name : *
Bank A/C No. : *
Bank IFSC : *
Bank Branch : *
Upload Document
Photo upload : *
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Signature Upload : *
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Marksheet upload : * ઓનલાઇન રીઝલ્ટની પ્રિન્ટ અપલોડ કરી શકાશે.
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Upload LC (Leaving Certificate) *
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Upload Aadhar card *
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SC / ST / BAXI / PH Cast Certificate :
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Upload Non Creamy Layer Certificate
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Upload EWS Certificate
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Certificate of Cultural Activity or sports activity if participated in National Or state lavel :
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Cultural Activity or sports activity Name if participated in National Or state lavel
અભ્યાસ તૂટ અંગેનું ૫૦ /- ના સ્ટેમ્પ પર સોગંધનામુ
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Vacin Certificate
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Undertaking: We hereby undertake the following:

1. I hereby apply to seek admission to the above mentioned course. I abide to obey all the rules and regulations of college and University. I know that if I do not join the college within the stipulated time, my admission shall stand cancelled and also my caution money and other fees will be deducted / refunded as per policy. I have read all the rules of admission cancellation of the college and University and the rules mentioned in the information.

2. We abide to pay all the fees decided by the college from time to time.

3. We shall submit undertaking stating maintenance of at least 80% attendance. I/My ward shall not hold any job during college hours and co-operate the college in all respects.

4. I undertake as a parent/guardian that I will come to the college in person as and when called by the college in connection with the issues related to attendance, study, behavior etc. of my ward.

5. We know that bringing mobile in the campus is strictly prohibited and we will not have any objection if it is seized in case of its use in the campus.

6. I have to return my library books issued at correct time and if not returned I have to pay a fine as per institute/library rules. New books will be issued only when the previous book are returned.

7. I know that Ragging is strictly prohibited in the campus and if I am engaged in ragging I will be immediately suspended / rusticated from the college.

8. We are aware that the college campus is a “No Tobacco Zone” as per rules of District Tobacco Control (DTC) Cell of Government of Gujarat.

9. I, hereby undertake that, I will neither indulge in any coercive activity for the purpose of forcing the authorities of the Institute to solve any problem nor I will participate in any activity which has a tendency to disturb the peace and tranquility of the institute campus and/or its Hostel premises.

* Please upload only jpg or png Photo.

* (*) Marks indicate compulsory field.