Phone: 7896049792/93, 9864043684
Name and Address of Guardian
(in case of SC/ST candidate copy of supporting document to be enclosed)
Details of 10+2
Declaration by the candidate
I hereby declare that I have filled this form to be best of my knowledge and belief that all the particulars given above are true.
I hereby undertake to abide by all the conditions, rules and regulations in force at present and also those which may hereafter be introduced for the administration of the college. I will do nothing unworthy as a student of the college either inside or outside or anything that will cause harm to its orderly working and discipline. I am aware that the management has the full authority to expel me for disinterest in studies, misbehaviour, continuous failure and for any other valid reasons.
I hereby undertake that I shall pay all the fees and other dues to the institution promptly on demand. I have thoroughly read the prospectus and understood the contents therein. I am lawfully bound to pay fees for the whole course period withdraw from the college anytime after admission and or before completion of the course.
Undertaking by Father/Mother/Guardian
have read the prospectus and undertaken to pay all dues/fees as applicable for my Son/Daughter/Ward for undergoing the ANM/ GNM/ B. Sc/ Post Basic B.Sc. nursing course. This amount may beforfeited if the student fails to complete the course or is dismissed from the college on account of misconduct orother valid reason. I being the father/mother/guardian hereby undertake to pay full fees/dues to the institutionfor the whole course period if my ward withdraw/expel from the institution any time after admission and before completion of the course.
1. Witness: (Optional)
2. Witness: (Optional)
Attested copies of certificates, passport photo and signatures to be enclosed/attached.
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