APMC Road, Belthangady, Dakshina Kannada
9591464214
kalpatharnursing@gmail.com
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KALPATHARU
SCHOOL & COLLEGE OF NURSING
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Online Admission Application Form
Academic Year 2026 - 2027
1. Course & Personal Information
Enter accurate details as per SSLC / 10th Marks Card
Select Course Applied For
*
-- Choose Course --
B.Sc Nursing (4 Years)
GNM (General Nursing & Midwifery) (3 Years)
Post Basic B.Sc Nursing (2 Years)
M.Sc Nursing (2 Years)
Full Candidate Name
*
Date of Birth
*
Gender
*
Female
Male
Other
Category
*
General / GM
OBC (Category 1, 2A, 2B, 3A, 3B)
SC
ST
Email Address
*
Candidate Mobile Phone
*
Aadhaar Number
*
2. Parent & Address Details
Father's Name
*
Mother's Name
*
Parent Contact Mobile
*
Permanent Communication Address
*
3. Academic Qualifications
2nd PUC / 12th Total %
*
Physics, Chem, Bio (PCB) %
*
KCET Rank (If applicable)
4. Upload Certificates (Optional)
10th Marks Card Copy (PDF/JPG)
12th / PUC Marks Card Copy (PDF/JPG)
Submit Online Application