Personal Details — Student Admission Record

Complete this form with your personal particulars as part of the admission process at DMJ Institute of Nursing Science. Please ensure every detail matches your official documents.

Personal Details

All particulars must match your official documents.

Course *

1. Student Identity

Name *

Father Name *

Mother Name *

Gender *

Cast

Date of Birth *

Blood Group

2. Contact & Residence

Permanent Address *

Phone No *

Email Id

Nationality *

Country *

Rural / Urban *

3. Identification & Admission

Aadhaar / Citizenship No

Date of Admission

Before You Begin

Keep the following details ready so you can complete this form in one go. Fields marked with * are mandatory.

Personal Records

Date of birth, blood group, caste, and Aadhaar / Citizenship number.

Parent Details

Full names of your father and mother as per official records.

Address Proof

Your permanent address, nationality, and country of residence.

Next Steps

1 Fill in and submit this Personal Details form.
2 Our admissions team verifies your details and contacts you.
3 Complete document verification & fee payment on campus.