Jahanara Nursing Collage
Jahanara Nursing College Online Admission Form
2020
Applicant Info
Education Info
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Application Help
Application Date
*
Program
*
--Select Program--
Diploma in Nursing Science & Midwifery
B.Sc in Nursing ( Basic)
Session
*
--Select Session--
2020-2021
Applicant Name
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Applicant Name ( BN )
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Father Name
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Mother Name
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Gender
*
--Select Gender--
Male
Female
Other
Date Of Birth
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Birth Registration No
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National ID ( NID )
Guardian Name
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Local Guardian Name
Guardian Phone No
Relation With Local Guardian
Nationality
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Religion
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--Select Religion--
Islam
Hinduism
Christianity
Other
Marital Status
--Select Marital Status--
Married
Unmarried
Divorced
Other
Email Address
*
Student Mobile No
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Passport No
Govt. Admission Test Held On
*
Govt. Admission Test Roll No
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Marks Obtained
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Permanent Address
Village/Road/House
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Post Office
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Thana/Upzilla
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District
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Division
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Post Code
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Address
*
Present Address
Village/Road/House
*
Post Office
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Thana/Upzilla
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District
*
Division
*
Post Code
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Address
*
Student Photo
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Level of Education (S.S.C/Equivalent; H.S.C/Equivalent)
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School/Institution/College
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Roll No
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Registration No
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CGPA
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Year
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Board/University
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Marks Biology ( Applicable for only BSc Student )
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Year
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