Application Form

Name of applicant (In block Letters) ^*

Father's Name ^*

Upload Profile Photo ^*

Age ^*

Height cm. ^*

Weight Kg. ^*

Religion ^*

Mother Tongue ^*

Other Language Known ^*

If Schedule Cast/Schedule Tribe/Backward Class, give particulars (attach certificate in proof)

Conduct certificate from parish priest in case of Catholics and Christians from Pastor

Date of birth ^*

Aadhar Card No. ^*

Upload Aadhar ^*

Basic Qualification ^*

Permanent Address (In Block Letter) ^*

Phone ^*

Email ^*

Occupation of Father/Gurdian ^*

Annual Income ^*

If Guardian, mention relationship of guardian ^*

Name and address of two (other than relatives who have known you at least two years out of which one should be of the principal of the college last attended by the applicant) ^*

(a) Full Name ^*

Phone Number ^*

Address ^*

(b) Full Name ^*

Phone Number ^*

Address ^*

Academic Data ^*

Class 10^th ^*

Year & month of passing ^*

Medium (Hindi/English) ^*

Total Marks Secured ^*

Aggregate Percent of Total ^*

Division (I/II/III/ Compart.) ^*

Upload Class 10^thMark Sheet ^*

Upload Class 10^thPass Certificate ^*

Class 10 +2 (intermediate)^*

Year & month of passing ^*

Medium (Hindi/English) ^*

Group Science ^*

Total Marks Secured

Aggregate Percent of Total

Division (I/II/III/ Compart.)

Upload Class 10 +2 (intermediate) Mark Sheet

Upload 10 +2 (intermediate) Pass Certificate

Recent conduct certificate from principal of the college last attended

Upload a letter of application by the applicants own handwriting^*

Student Signature^*

Kindly send the following enclosures along with DD by speed post or courier.

1. Xerox copy of 10th & 12th or equivalent certificates along with mark sheet and pass certificate.
2. Conduct certificate from parish priest in case of Catholics and Christians from Pastor.
3. Recent conduct certificate from principal of the college last attended.
4. Certificate of medical fitness by a qualified physician.
5. A letter of application by the applicants own handwriting.
6. Basic computer course Certificate.
7. Copy of Aadhar Card.

For any clarification please contact
Jeevan Jyothi School of Nursing
Telco Town, Jamshedpur
Jharkahnd - 831004.
Ph no : 06572286168, 06576695672

Jeevan Jyothi School of Nursing

Office Address

Phone Number

Email Address

Application Form

Jeevan Jyothi School of Nursing

Important Links

Contact Info