Full NameFather's/Guardian NameDate of BirthGenderMaleFemaleOtherCityStatePresent AddressPermanent addressMobile NumberAlternate Contact NumberEmail addressCourse Applied :ChooseGNMB.Sc NursingM.Sc NursingPB B.Sc NursingD.PharmB.PharmB.B.AB.ComBS/MD (MBBS)B.E (Mechanical, Civil, E&C, Computer Science)Highest QualificationGraduateHigh Secondary/ Inter/ 12thOtherName of the Board/UniversityYear of Passing - 12thPercentage in 12thUpload 12th MarksheetUpload 12th Transfer Certificate/Migration/School Leaving certificateUpload ID proofUpload CertificatesRefferal—Please choose an option—NewspaperConsultantSocial MediaAdmission CenterConsultantCenter CodeBGI0101BGI0102BGI0103BGI0104BGI0105BGI0106BGI0107BGI0108BGI0109BGI0110
