Admission Form

Deo Institute of Nursing Sciences

Ormo, Kasmar, Bokaro, Jharkhand-829121

ADMISSION APPLICATION FORM 2023-24
Course Applied*
Name of the student in full [IN BLOCK LETTER]*

First NameMiddle NameLast Name
Date of Birth:*

DayMonthYear
Nationality*
Gender*
Community*
Hindu/Muslim/sikh/Christian/Others
Social Category*
Father's Name*

First NameLast Name
Occupation*

agriculture/service/business/housemaker/any other

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name*

First NameLast Name
Occupation*

agriculture/service/business/housemaker/any other

Street Address Line 2

CityState / Province

Postal / Zip Code
Address*

Street Address

Street Address Line 2

CityState

Pin CodeCountry
Father's Phone Number*
Don't write country code
Student's Phone Number*
Don't write country code
Mother's Phone Number*
Student's E-mail*

Local Guardian Name*

Full Name of person

Address

CityState

Pin Code
Phone Number*
Emergency No*
Details of academic qualifications.*

ExaminationBoardyear of passingPercentage marksRegistration No.
Details of academic qualifications.*

ExaminationBoardyear of passingPercentage marksRegistration No.
Proficiency in sports, extra curricular activities, etc. (supported by certificates)
write about your achievement in academic award, Sport award, Other extra-curricular activity or achievements.

Enclosure

Scan copy of Class X Pass certificate & Mark Sheet, Class XII Pass certificate & Marksheet, Category/Cast Certificate, Residential Certificate, Character Certificate, Transfer Certificate, Migration Certificate & Recent Passport Size Photo.

It is mandatory to upload Class X Pass certificate, Class XII Marksheet and photo. Other documents may be submitted later if not received yet.
Enclose/Upload Documents Here (If you face any problems to upload document please send your documents to: office@dions.co.in)

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Note: Original Certificate and 6 Passport size photos are need to be submitted in the college office after enrolment.
Payment

Pay the Application form Fee of Rs 1000/- by scanning the QR code

9661304804@ucobank
PAYEE NAME
DEO INSTITUTE OF NURSING SCIENCES
UTR/Ref. No.*
Enter after payment from the receipt
Should be Empty: