APPLICATION FORMAT

(Only female candidates of Indian nationality)

B. Sc. Nursing/General Nursing & Midwifery (GNM) Course 2015(Not to be sold)
Note: Do not put dash () in any column or leave it blank.
1. (a) Name of Applicant (Give one box gap between First/
Maiden/Surname)
(as per matriculation certificate):

(b) Name of Applicant in Hindi : ___________

2. Date of birth (in Christian Era): ____________
Age as on 01 Aug 2015 : _____ yrs_______months ____ days
(Attach matric certificate for proof))
3. Marital status : Unmarried/married/divorcee/widow without encumbrances
4. Name of Father/Guardian : _______________________
5. Complete Postal Address : _______________________
For communication (PIN code mandatory)
6. Permanent Home Address : _______________________________
7. Tele No/Mobile No. (With STD code): ________________________
E-mail ID : ___________________________________
8. Nationality : Indian__________________ Any other_______________
9. Caste: General/Schedule Caste/Schedule Tribe__________________
(Attach proof in case of SC/ST issued by SDM/ Tehsildar)
10. Sr Secondary (10+2)/equiv exam & Percentage of Marks :Passed ( ___%) / Appearing
(Open school students not permitted . Certificate to be attached from Principal
mentioning subjects PCB as elective subjects in std XI)
11. (a) How many times have you appeared/attempted for BSc/GNM in
Armed Forces? _________________ ___________________
(b) Selected/Not selected __________________________
(c) If selected, furnish details of not joining/termination of training:
___________________________________________________
12. Have you been trained in B Sc (N)/GNM (attach proof and mention details
of course completed)? _____________ _____________ ___________
13. Choice of Written Test Centre (Three choices are essential):
(i) ___________ (ii) __________ (iii) __________________
14. State the choice of institution in order of preference for admission
(applicable if finally selected for training). Allotment will be made on merit cum
choice basis subject to the vacancies at each institution. (It is Mandatory to mention
all the 07 choices)
(i) If no preference is stated against a particular institution, you will be considered
for only those institutions for which you have given preference and will not be
considered for any other institution even if seats are available.
(ii) If same Institutions name is mentioned in order of preference repeatedly, you
will be considered for one institution only, and will not be considered for

any other institution even if vacancy exists.

(iii) Subsequent to passing the final year University examination for B Sc (Nursing)
course and DGAFMS Examination for General Nursing and Midwifery course all
candidates will be offered a commission in the Military Nursing Service. The date
of declaration of result from respective Universities will be the date of
commissioning for the candidates passing out of Colleges of Nursing and the
date of completion of course will be the date of commission for candidates
passing out from Schools of Nursing. The date of commission determines the
date of seniority in service among all candidates who have joined the course
in the same year. The tentative month of declaration of result of the existing 05
Colleges by the Universities and 02 Schools of Nursing is as given in the table
below:S NO

Name of
Institution

1.
2.

*CON, AFMC Pune

3.
4.
5.
6.
7.

CON,CH(EC)
Kolkata
CON, INHS Asvini
CON, AH (R&R) ,
NEW DELHI
CON,CH (CC),
Lucknow
**SON,CH (AF)
BANGLORE
**SON,CH(WC),
Chandimandir

No. of seats
availaible

Choice of
centre in order
of preference
(1-7)

Tentative date of
Declaration of
results

40
30

Jul/Aug

30
30

Jul/Aug

40

Sep/Oct

20

Mar

20

Mar

Sep/Oct

Jul/Aug

*CON-College of Nursing, **SON-School of Nursing

** Case being processed to upgrade Schools to Colleges of Nursing

I hereby certify that the above information is true to the best of my knowledge and
if the authorities find anything false, my candidature is liable to be cancelled at any
stage of my training period.
Place : ______________
Date : ______________

________________
Signature of Applicant

INFORMATION ALSO AVAILABLE ON WEBSITE :

www.indianarmy.nic.in/www.indianarmy.gov.in
(To be enclosed with application in TRIPLICATE on A4 size paper)

BSc NURSING/GENERAL NURSING & MIDWIFERY (GNM)

COURSE : 2015
ADMIT CARD: WRITTEN TEST / INTERVIEW
________________

1.

Name

2.

Visible Identification Marks :

(Mandatory)

3.

Roll No :

Date of written test :

____________

5.

Time of written test :

0930 hrs

6.

Test Centre

_________________
_________________

____________________
_____________________
______________________

7.

Date of interview :

____________________

8.

Time of interview :

0830 hrs

9.

Interview Centre

____________________
_____________________

Note : Only column 1 & 2 will be filled by the candidate in capital letters. Please
carry this letter and a black ball point pen only for use on OMR answer sheet along
with you for the written test.
Each application must be accompanied with 3 sets of admit cards on separate
sheets of A4 size.
Signature of the issuing authority
IHQ of MoD (Army)