ADAN INSTITUTE OF NURSING SCIENCE

Champasari, Siliguri, West Bengal 734003

Tel: (+91)90025 30313 | Email: info@adannursinginstitute.Com

Website: www.adannursinginstitute.com

Application Admission

Select Admission Course

Name of The Applicant

Gender

Date Of Birth

Blood Group

Religion

Caste

Mother Tongue

Adhar Card No.

Correspondences Address

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Phone

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Passport Size Photograph

Parents/Guardians Information

Name Of The Father

Occupation of Father

Name Of The Mother

Occupation of Mother

Address of Parents

Pin Code

Mobile No.

Phone

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Details Of Educational Qualifications

S. No.	Qualification	Name of the School/College	Subject	Percentage	Year Of Passing