Tagore Paramedical Institution Anbarasu School of Nursing

Tagore Institute of Medical Science
& Research Center

 
Tagore Institute of Medical Science & Research Center
Application Form

43, G.S.T Road, M.R. Theatre Complex, Tambaram, Chennai - 600 045, TamilNadu, India
Telephone: 044-64555006 Mobile: 9381384866 ,9381384844.
E- mail : tims.tambaram@gmail.com
 

Department applied for *  
Course Applying for *
Name of the Applicant *
Gender *
Place Of Birth *
Date of Birth (DD/MM/YYYY) *
E-mail ID *  
Mobile *  

Correspondence Address in full *
(to which reply to this application may be send)

 
Father Name(Guardian's Name & Relationship)Occupation, his/her permanent Address & Contact Number *  
Nationality *  
Name & Address Of the Parent/Guardian Occupation of the Parent/Guardian. *  
Languages Which the Candidate can Speak/Write/Read *  
Reference (Name / Mobile No. Need to Enter) *
Details of Educational Qualification *    
Years Examination Passed Board / University Division % of Marks
 
Whether admission is for day or evening college or weekend *  
Work Expriences *

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
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Attach Your Certificates in .Rar or .Zip Format
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DECLARATION BY THE APPLICANT
   
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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