Application Form



APPLICATION FORM FOR
Fellowship in Nursing Laws and Ethics (FNLE)
SESSION 2018 - 2019


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Examination Passed/Appeared(Year) Board/University/Authority Place and Country Marks
Max Marks Percentage Obtained

Address for Correspondence (Please include State, Telephone, Fax, e-mail, other details (if any) (Any change in the address may please be intimated immediately):








LIST OF ENCLOSURES:

Decription Upload Status
Copy of the Passport (Essential for Foreign Nationals)
Copy of the statement of marks of the Qualifying Examination /conversion in the case of Grades / Graduation Certificate
Copy of the Birth Certificate or any other equivalent document for D.O.B.
One Passport size photograph
Signature scan copy

N.B. : If you do not have a passport, please enclose copy of Aadhar card or Voter ID card as proof of identity. If you have appeared for graduation, please enclose copy of your
          admit card or equivalent document. All documents must be self attested.

DECLARATION:

I hereby affirm that the information furnished in the Application Form is true and no material information has been concealed. If any information is found to be false, incorrect or misleading, the University shall have the authority to cancel my candidature / admission without any further enquiry or notice. 1 undertake to abide by the Regulations and disciplinary rules already in force and such other rules that may be made by the Authority from time to time, if admitted.

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