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Online Admission Form – Birsa School of Nursing
Admission Helpline:
+91 98355 39713
| Mon–Sat, 10 AM – 4 PM
🏥
BIRSA SCHOOL
OF NURSING
Approved by Jharkhand Govt. (Health Dept.) · Affiliated to JNRC, Ranchi
GNM 3-Year Diploma
Barhi, Hazaribag, JH
Admissions Open 2025–26
1
Fill Form
Personal & Academic
2
Verification
Documents Check
3
Confirmation
Seat Allotment
Fields marked with
*
are mandatory. Please fill all details correctly. After submission, our team will contact you within
24–48 hours
.
Student Details
Personal information of the applicant
Full Name
*
Father's Name
*
Mother's Name
*
Date of Birth
*
Gender
*
Select
Female
Male
Other
Blood Group
Select
A+
A−
B+
B−
O+
O−
AB+
AB−
Category
General
OBC
SC
ST
EWS
Religion
Nationality
Contact & Address
Mobile, email and residential address
Mobile Number
*
Email Address
*
Full Address
*
City / Town
*
State
*
Pin Code
*
Academic Details
Educational qualifications
GNM – General Nursing & Midwifery
3-Year Diploma Programme · Approved by Jharkhand Govt.
Selected
10th Board
*
10th Passing Year
*
10th Percentage
*
10th Stream / Subjects
12th Board
*
12th Passing Year
*
12th Percentage
*
12th Stream
*
Select Stream
Science (Biology)
Science (Maths)
Arts
Commerce
Other
Guardian / Parent Details
Emergency contact information
Guardian Name
*
Relation with Student
*
Select
Father
Mother
Husband
Uncle
Other
Guardian Mobile
*
Guardian Occupation
Declaration by Applicant:
I hereby declare that all the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect, my admission is liable to be cancelled at any stage.
I agree to the above declaration and confirm that all details are accurate.
*
Submit Admission Form
