Tagore Paramedical Institution Anbarasu School of Nursing

Rajiv Gandhi Paramedical Training

Application Form

30/B, L.B. Road, Thiruvanmaiyur, CHENNAI -45
(Approved by the State Resource Center)
TamilNadu Board of Continuing Education
Under the Ministry of HRD. Govt of India, New Delhi
Affiliated by AIMLTA, NEW DELHI
Department applied for *  
Course Applying for *
Name of the Applicant* :

Address of the Applicant*

Father / parent /husband / guardian*  
Date of Birth*
E-mail ID*  
Mobile Number*  
Details of Educational Qualification    
Years Examination Passed Board / University Division % of Marks
Whether admission is for day or evening college or weekend*  
If part time,enclosed the work experience certificate* :
Name of the office,currently working address *  

List of Certificates / Documents attached to this application in Zip or Rar file

a. Two Copies of recent photographs, duly attested by a Gazetted Officer
b.Attested / Xerox copies of High School and Higher Secondary Certificate issued by the Examination
c. Last Board Transfer Certificate / School Leaving Certificate
d. District Magistrate's certificate, if the candidate belong to Schedule Caste / Schedule Tribe
Hostel Facility Required *
Attach Your Passport Size Photo
(Maximum size: 1MB )

Attach Your Certificates in .Rar or .Zip Format
(Maximum size: 3MB )
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* By Clicking the Submit Button, You agree to the above said conditions.
* Please Note that Improper Pictures Will be rejected and will not be considered as a valid Application.
Nursing Course