HOLY FAMILY COLLEGE OF NURSING
THODUPUZHA EAST P.O., IDUKKI, KERALA
Pin. 685 585, Ph. 04862 225857, 9656190338
e-mail: hfconsg@gmail.com Web: www.hfconsg.com
Download Prospects
Application for Admission uder NRI Quota
B.Sc. Nursing
Application Number
New Application
Name
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NRI Status of Student
Gender
DOB
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Father's Name
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Mother's Name
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NRI Status of Parents
Nationality
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Native Place
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Guardian Details (in India)
Address
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Phone Number
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Email ID
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Permanent Address Abroad (if NRI)
Address
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Phone Number
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Email ID
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Educational Qualification
Qualification
Board of Examination
Name of the Institution
Month & Year of Passing
Reg No
Marks Secured
Grand Total
Percentage %
A
S.S.L.C
S.S.L.C
Board of Examination
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Name of the institution
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Month & Year of Passing
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Register No
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Mark Secured
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Grand Total
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Mark %
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B
Plus Two
Plus Two
Board of Examination
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Name of the institution
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Month & Year of Passing
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Register No
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Mark Secured
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Grand Total
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Mark %
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HSE Subject Marks
English (2nd Year)
Mark Secured
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Max Mark
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Mark %
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Physics (2nd Year)
Mark Secured
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Max Mark
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Mark %
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Chemistry (2nd Year)
Mark Secured
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Max Mark
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Mark %
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Biology (2nd Year)
Mark Secured
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Mark %
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Total (PCB)
Mark Secured
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Max Mark
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Mark %
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Total (PCBE)
Mark Secured
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Max Mark
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Mark %
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1. Whether Qualifying Examination passed as a regular student of a School/College/University
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2. Name of the College/Higher Secondary School which the student last attended
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3. NRI Category under which applying Passport No., if NRI
Please enter NRI Category under which applying Passport No., if NRI.!
4. Name & Relationship of Sponsor
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Address of Sponsor in India
Address
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Phone Number
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Email ID
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Address of Sponsor in Abroad
Address
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Phone Number
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Email ID
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Sponsor’s Employment Certificate (attach)
Passport & Visa No.
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Passport & Visa No. (attach)
Sponsorship Certificate Annexure I (attach)
Declaration
We, ___________________________ (Applicant)& ___________________________ (Parent/Guardian) do hereby solemnly declare that the statements made herein above are true to the best of my knowledge and belief. Should the said information prove to be incorrect at any stage, my candidature/admission to the B. Sc. Nursing course shall stand cancelled. We promise to submit all certificates and documents in original at the time of admission failing which the admission will be liable for cancellation. We agree to pay an additional fee of Rs. ____/- every year as per Government Order. If student discontinues the course after the closure of admissions I will pay the liquidated damages equal to 4 times the Annual Tuition Fee paid by her for the first year irrespective of Annual Family Income/Nativity/Reservation status (Order No. G.O. (MS) No. 172/2013/H&FWD, TVM, dated 16/05/2013).
Name of Applicant
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Applicant Signature
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Name of Parent/Guardian
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Parent/Guardian Signature
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Date
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Place
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Documents attached
Copies of the documents are to be attached. Original documents and certificates are to be handed over to the college at the time of admission.
1. X Certificate in proof of Date of Birth
2. Copy of the qualifying examination certificate ( 10+2)
3. Character/Conduct certificate from the institution last attended within six months.
4. Transfer Certificate
5. Migration Certificate
6. The candidate is required to submit NRI Documents of parent or sponsor.
7. Eligibility Certificate indicating equivalence of 10+2 from Kerala University of Health Sciences (if applicable)
8. Equivalence Certificate from Association of Indian Universities (if applicable)
Student's Photo
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X th Certificate in proof of Date of Birth
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Copy of the marks sheet of qualifying examination certificate ( plus 2)
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Character/Conduct certificate from the institution last attended within six months
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Transfer Certificate
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Migration Certificate
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Sponsor’s attested copy of passport
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Sponsor’s attested copy of green card/ employment certificate/ Visa (Overseas employment certificate)
Please Upload Sponsor’s attested copy of green card/ employment certificate/ Visa (Overseas employment certificate).!
Relation certificate of student with sponsor from revenue authority
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Completed copy of Annexure 1 of Prospectus
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Eligibility Certificate from Kerala University of Health Sciences Trissur, if candidate completed her plus two in foreign country (If applicable)
Please Upload Eligibility Certificate from Kerala University of Health Sciences Trissur, if candidate completed her plus two in foreign country (If applicable).!
Equivalence Certificate from Association of Indian Universities (if applicable)
Please Upload Equivalence Certificate from Association of Indian Universities (if applicable).!