Pasific Institute of Nursing

Admission Form

Enter your admission information below

Student Name *

Father Name *

Surname *

Email ID

Student Phone No. *

Parents Phone No. *

Date of Birth *

Gender *

Category *

Full Address *

State *

City *

Pin Code *

Stream *

Course *

12 ^TH Percentage *

English Marks *

Aadhar Card No.

Passport Size Photo

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