APPLICATION FORM FOR VERIFICATION
Name of the Candidate
Son/Daughter/Wife of  
Full Address   
Mobile NO.
E-Mail  
Qualification
Qualification Document & Marks Sheet
  (PDF file size should not be more than 300KB)
RN/RM No. or RANM No.
RN/RM or RANM Document
  (PDF file size should not be more than 300KB)
Name of the Institution (With Address)
Programme
For selecting more than one programme hold "ctrl" key and select desired programme by clicking on the name of programme.
Period of the Programme   

  
University

Board
Purpose of Registration Verification of the Institute at
In Which State Nursing Council, You would like to Register