Fill up the online application form given below, slecting the Academic Program you would like to apply for:

Applying For	:	Select Masters of Public Health (MPH) Bachelor of Science Nursing (B.Sc Nursing) Bachelor of Public Health (BPH) Bachelor pf Pharmacy (B.Pharma) Post Basic Bachelor of Nursing (PBN)
Personal Details
Name	:
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Gender	:	Male Female
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Date of Birth	:
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Family Details
Father's Name	:
Father's Middle Name	:
Father's Family Name	:
Father's Occupation	:
Father's Telephone No.	:
Mother's First Name	:
Mother's Middle Name	:
Mother's Family Name	:
Mother's Occupation	:
Mother's Telephone No.	:
Local Guardian's First Name	:
Local Guardian's Middle Name	:
Local Guardian's Family Name	:
Local Guardian's Occupation	:
Local Guardian's Telephone	:
Academic History
Name of Institution University/Board/Location Year Passed % Name of the Degree
Award & Scholarship Won
Name of the Event Position/Rank Award/Scholarship Attach File 1 : Attach File 2 : Attach File 3 : Attach File 4 :
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