Admission Form - Vijaya College of Nursing

Note:

Application Cost Rs. 500
Applicant seeking admission should have completed 17 years of age as on 31st December of that respective year.
Original certificates submitted at the time of admission will be returned only after completion of the course.
Photostat copies will not be accepted in the place of originals at the time of admission. Candidates are advised to make sufficient Photostat copies of all the certificates before submission of originals.
In the event of candidate leaving the college after admission before completion of the course, fees already paid will not be refuned under any circumstances, fees for the whole year should also be compulsorily remitted without which the original certificates will not be returned.
Eligibility certificate and migration certificate applicable to those students who studied outside of Tamil Nadu state and CBSE Board even if they belong to Tamil Nadu or Other State.
Undertake not to bring mobile phone to college.
Completed application form along with Xerox copy H.Sc Mark statement and 10th mark statement should be submitted to, The Principal, Vijaya College Of Nursing, New No.323, Old No.175, Vijaya Health center, N.S.K Salai, Vadapalani, Chennai-600026. On/ Before

Name of the Applicant

Date of Birth and Age (Age as on 31st December )

Father Name

Religion & Nationality

Community

Sub Caste

Mother Tongue

Blood Group

Student Email ID

Parents Profile

Father Name

Educational
Qualification

Office Address
Tell. No & Mail
ID

Annual
income

Mobile
Number

Permanent Residential Address
District
Pincode

Qualifying Examnation Passed : HSC/ CBSE / Other State

Subjects
Marks Obtained
Max Marks
Month/Year of Passing
Register Number
No. of Attempts
Percentage

Declaration Of Candidate

I declare that the information made by me in this form are true to the best of my knowledge. I am aware that providing incorrect information form can result in the cancellation of my admission at any stage. I agree to abide the rules and regulations of the Institution as framed from time to time.
Date
Place
Signature of the Candidate

Declaration By The Parent/Guardian

I declare that I have carefully read the fee schedule and that I will abide by the same without any objection at a later date.

I further undertake to abide by the orders issued by the management from time to time concerning college activities and ensure that my daughter attends college in proper uniform, her study in this college. In case of violation of any of the college rules, I shall strictly abide by the decision of the college authorities to either suspend or expel my daughter.

I further declare that I have not paid any donation/capitation fee or extended any obligation to any one of the Management/Staff/Middlemen for the admission.

Date
Place
Signature of the Parent/Guardian