(BSN Generic) - Admission Form - South City Health Care Education Hub

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APPLICATION FORM
Desired Program*
- Post RN Bsc. Nursing
- BS Nursing Generic
Name of Applicant*
Father/Guardian’s Name:*
Date of Birth*
Nationality*
Gender*
- Male
- Female
C.NIC No/B.Form No:*
Marital Status*
Religion*
Residential Address (Present)*
Residential Address (Permanent)*
Tel no.*
Mobile no.*
E-mail*
Candidate Record
Certificate No.*
Domicile PRC
District*
Domicile PRC
Date of Issue*
Domicile PRC
Place of Issue*
Domicile PRC
Father / Guardian Record
Certificate No.*
Domicile PRC
District*
Domicile PRC
Date of Issue*
Domicile PRC
Place of Issue*
Domicile PRC
ACADEMIC RECORD OF CANDIDATE
Matriculation/O Levels/Equivalent*
Name and Place of Institution Passing Year Grade / %
Intermediate / A Levels / Equivalent*
Name and Place of Institution Passing Year Grade / %
Others*
Name and Place of Institution Passing Year Grade / %

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DOCUMENTS CHECKLIST
Matric/O-Levels Marks sheet Attached*
Accepted file types: jpg, png, pdf.
Matric/O-Levels Certificate Attached*
Accepted file types: jpg, gif, png, pdf.
Intermediate/O-Levels Marks Sheet Attached*
Accepted file types: jpg, gif, png, pdf.
Intermediate Character Certificate Attached*
Accepted file types: jpg, gif, png, pdf.
Candidate’s Domicile Attached*
Accepted file types: jpg, gif, png, pdf.
Candidate’s PRC Attached*
Accepted file types: jpg, gif, png, pdf.
4x Passport Size Photographs Attached*
Accepted file types: jpg, gif, png, pdf.
Parents/Guardian’s CNIC Attached*
Accepted file types: jpg, gif, png, pdf.
Candidate’s CNIC/B form Attached*
Accepted file types: jpg, gif, png, pdf.
Candidates Signature *
Parent's/Gradian's Signature *
Date

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Prospectus Fee
Upload paid prospectus fee voucher snap*
Accepted file types: jpg, gif, png, pdf.
Upload bank official receipt snap*
Accepted file types: jpg, gif, png, pdf.
Email
This field is for validation purposes and should be left unchanged.

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South City Institute of Nursing - Online Admission Form