VIJAYA COLLEGE OF NURSING Gurugiri Campus, Neeleswaram P.O Kottarakkara, Kollam Name of Candidate * Sex *MaleFemaleOthers Date of Birth * Age * Your Photo * 150 x 200, Size - 200kb (jpg, jpeg, png) Place of Birth * Religion * Nationality * Blood Group *A+A-B+B-O+O-AB+AB- Father's / Guardian's Name * Father's / Guardian's Occupation * Aadhaar No.* Mobile * Present Address * Permanent Address * E-mail * Qualifying Examination Passed * Board of Qualifying Exam * Month & Year of Passing * No. of attempts * Register Number in the Qualifying Exam Passed * Marks Obtained in the Qualifying Exam Physics * Chemistry * Biology * English * Total (P+C+B+E) * Percentage(%) * Total Marks and Percentage obtained in Qualifying Examination Total Mark * Percentage(%) * Upload your certificate mentioned below SSLC Marks sheet *(jpg, jpeg, png, pdf) II PUC / +2 Marks sheet * ( jpg,jpeg,png,pdf ) Declaration I/We declare that all information provided herewith is true to the best of our knowledge. I/We fully agree to abide by all the policies, rules, and regulations of the institution and in case of non-confirmation would accept the verdict of the institution as final. Place * Date * Select Category * NRI SeatManagement Seat Transaction ID