Habibganj, BHEL, Bhopal. Phone : 0755-2505370, 2485278

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Application for registration in B.Sc. Nursing Course (2019-20)

D/D Details
DD/MR No. DD/MR Date Amount in Rs.
Candidate's Information
First Name Surname
Date of Birth Age
Gender Religion
Nationality Indian Other Category GENERAL S.C S.T O.B.C
Parent's Details Father Mother
Aadhar Number  
Mobile Number  
Family Income in Lakhs per Annum
Residential Information
Permanent Address
Landline/Alt. Contact Number
Email ID
Name of Local Guardian
Local Address
Contact No.
Academic & Any Other Qualifications (if any)
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Name of Exam
Subjects Taken
Year of Passing
No. of Attempt(s)
Distin./Scholarship (if any)
Give the name, profession and present address(in full) of two responsible persons known to you to whom reference could be made.
  1 2
Contact No.
Terms & Conditions

Documents to be Submitted :

  1. Copy of Online Receipt & requisite Fee for Rs 350/-by D/D in favour of "BHEL Shiksha Mandal A/c Kasturba College of Nursing" payable at Bhopal and oneself addressed stamped envelope (23x10cm)
  2. Attested copies of Marksheets of qualifying examination of HSC & HSSCE (10+2),In case of non receipt of original marksheets, copies obtained through Internet duly attested by the school PrincipaVself attested to be enclosed.
  3. Two Passport size self signed photographs.
  4. In case of SC/ST/OBC, attested copy of certificate from the competent authority.
  5. Proof of Age, as per qualifying examination of the Board of Secondary Education Migration & Domicile certificates
  6. Blood Report : HIV & HBS Ag Blood report to be submitted along with duly filled in application form.
  7. All the above documents should be submitted at Kasturba College of Nursing , Habibganj BHEL Bhopal -462024 (M.P) on or before 15.6.2019 by 4.00 PM failing which the Registration Form will be treated as cancelled.

Kindly Remember :

  1. The age for admission of the candidate shall be between 17 and 22 years as on 31.12.2019 but relaxable by 3 years in the case of candidates belonging to reserved categories [SC/ST/OBC].
  2. Submission of registration form is not an assurance, confirmation of admission.
  3. CHANGE/CORRECTIONS in the entries will NOT be accepted under any circumstances after filling/submitting ONLINE REGISTRATION FORM.
  4. 'The BHEL Shiksha Mandal reserves the right to judge the eligibility of students as per the information furnished in the online registration form.
  5. The Registration ceases at any stage of admission if dissatisfied the Management without assigning any reasons and if any of the information furnished in the Registration Form is found fake/false.
  6. Registration Form without proper and complete documents will not be accepted and the Registration will be treated as cancelled. No claim whatsoever will be entertained thereafter.
I declare that all above informations are true and correct to the best of my knowledge. If any information furnished is found fake/false on later stage the College management shall be free to cancel my admission.I will abide by all the rules and regulations of Kasturba College of Nursing /BHEL Shiksha Mandal once the admission is given to me.

I agree to the Terms & Conditions given above.