Directorate of Health Services (MI), Government of Meghalaya

APPLICATION FORM FOR 3 YEARS GENERAL NURSING AND MIDWIFERY (GNM) 2020-2021

(General Instructions: 1. All fields are mandatory. 2. Enclosures: Mandatory - Passport size photograph, Age proof [ Birth Certificate/Class X Admit Card], Class XII Marksheet. Optional - ST/SC Certificate, Permanent Residential Certificate, Disability Certificate)

 

Name of Candidate  

Gender  

Date of Birth    

Age (as on 31/12/2020):

Mobile No.  

Category  

% of Marks in Class XII    

Stream in Class XII

Physically Disabled  



Parent's /Guardian's Name

Permanent Address


Address for Communication


Enclosures:


Passport size photo
(Max 400KB) Image file only

Age Proof
(Max 500KB) Image file only

Class XII Marksheet
(Max 500KB) Image file only

ST/SC Certificate
(Max 500KB) Image file only

Permanent Residential Certificate
(Max 500KB) Image file only

Disability Certificate
(Max 500KB) Image file only

 
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