Deepthi College of Nursing Namakkal

Name (In Block letters) :

Father’s /Guardian’s Name :

Mother Name :

Address for Communication :

Date of Birth :

Gender :

Father Mobile Number :

Mother Mobile Number :

Email Id :

Community :

Religion :

Nationality :

Examination Passed :

HSC Register No :

Name of the School :

HSC Marks Obtained

Tamil :

English :

Maths :

Physics :

Chemistry :

Biology :

Botany :

Zology :

Others :

Total Marks :

PCB (Physics/Chemistry/Biology) Total :

PCB (Physics/Chemistry/Botany/Zology) Total :

PCB Percentage % :

I solemnly declare that the above statements are correct to the best of my knowledge.

Online Application