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Sri Vinayaka Education Trust® is in the process of establishing other Medical & Para-Medical courses

Apply Online Help Line : +91 96636 30666

Applicant's Form

* Mandatory fields
Select the Course * :
How did you hear about us? :
Name of the Applicant * :
Applicant Mobile Number * :
E-mail * :
Landline : -
Gender :
Nationality :
Date of Birth * :      
Permanent Address * :
City * :
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State * :
Pin * :

Parent's work address

Name of the Parent / Guardian :
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Additional Info

Local Address of Applicant (if any, in Bangalore) :
Bangalore Telephone Number :


Whether the Candidate belongs to SC/ST or BC/BT * : Yes No
Whether the Candidate is NRI/Foreign National * : Yes No
Results Awaiting : Yes No
12th standard academic details
12th Standard Board Name * :
Marks obtained in Physics :
Marks obtained in Chemistry :
Marks obtained in :
Marks obtained in English :
  I declare that I have secured the passing marks as per the norms of the 12th standard board I studied in
Languages studied
First Language :
Second Language :
    (If any) Zip your all document and upload.
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Declaration by the Candidate
 I declare that the above information is true and correct to the best of my knowledge and belief.
Declaration by the Parent / Guardian:
 I hereby declare that I have known the financial obligtion of my ward and I can afford to pay all the costs and I undertake to pay the Tuition and other fees payable to the College under the rules in force & which may be framed from time to time by the Management. I am aware that the fees paid to the college for admission will be forfeited in case of his/her discontinuation of the studies for any reason. I also stand by the declaration given by my son / daughter to the college.
Bank Details
Name of the Institution: Sri Vishnu College of Nursing
Account Number: 916010005487821
Bank Name: Axis Bank Limited
Branch : 8th Mile, Tumkur Road, Bangalore - 560 057
Branch Code: 002926
IFSC Code: UTIB0002926