Recognized by Government of Karnataka | Affiliated to Rajiv Gandhi University of Health Sciences, Bangalore | Approved by Indian Nursing Council (INC),New Delhi | Karnataka Nursing Council (KNC) | Karntaka State Nursing Examination Board(KSDNEB)

APPLY ONLINE

Applicant's Form

* Mandatory fields
Select the Course * :
How did you hear about us? :
Name of the Applicant * :
Applicant Mobile Number * :
E-mail * :
Landline : -
Gender :
Nationality :
Date of Birth * :      
Permanent Address * :
City * :
Country :
State * :
Pin * :

Parent's work address

   
Name of the Parent / Guardian :
Occupation of Parent / Guardian :
E-mail :
Landline : -
Mobile Number :

Additional Info

   
Local Address of Applicant (if any, in Bangalore) :
Bangalore Telephone Number :

Category

   
Whether the Candidate belongs to SC/ST or BC/BT * : Yes No
Whether the Candidate is NRI/Foreign National * : Yes No
Results Awaiting : Yes No
12th standard academic details
   
12th Standard Board Name * :
Marks obtained in Physics :
Marks obtained in Chemistry :
Marks obtained in :
Marks obtained in English :
  I declare that I have secured the passing marks as per the norms of the 12th standard board I studied in
Languages studied
   
First Language :
Second Language :
Upload Files : (If any) Zip your all document and upload.
Declaration by the Candidate
 I declare that the above information is true and correct to the best of my knowledge and belief.
Declaration by the Parent / Guardian:
 I hereby declare that I have known the financial obligtion of my ward and I can afford to pay all the costs and I undertake to pay the Tuition and other fees payable to the College under the rules in force & which may be framed from time to time by the Management. I am aware that the fees paid to the college for admission will be forfeited in case of his/her discontinuation of the studies for any reason. I also stand by the declaration given by my son / daughter to the college.
 
     
Bank Details
Name: Sri Vinayaka Education Trust(R)
Account Number: 32948019075
Bank Name: State Bank of India
Branch : T.Dasarahalli, Bhuvaneshwarinagar Bangalore - 560 058
Branch Code: 17736
IFSC Code: SBIN0017736
 
Enquiry Now