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.
(Photo to be attested by
1.

(a) Name in full (as per Secondary School leaving certificate)

(Give one box gap between First/Maiden/Surname)

a Gazetted Officer )

Paste your
photograph duly
attested by a
Gazetted Officer

(b) Name of Applicant in Hindi : ______________________

2.
3.

Date of birth (in Christian Era): __________________

Age as on 01 Aug 2015
: _____ yrs_______months ____ days
(Attach matric certificate for proof))
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 and 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)
2/-

-211.

(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.

..3/-

-3(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. *CON, AFMC Pune

2. CON,CH(EC) Kolkata
3. CON, INHS Asvini
4. CON, AH (R&R) ,
New Delhi
5. CON,CH (CC), Lucknow
6. **SON,CH (AF) Bangalore
7. **SON,CH(WC),
Chandimandir

No of
seats

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

Tentative date
of Declaration
of result

40
30
30
30

Aug/Sep
Sep/Oct
Aug/Sep
July/Aug

40
20
20

Sept/Oct
Mar
Mar

*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 : ______________
INFORMATION ALSO AVAILABLE ON WEBSITE :
www.indianarmy.nic.in/www.indianarmy.gov.in

___________________
Signature of Applicant

(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.

____________________

3.

Visible Identification Marks :

(Mandatory)
Roll No
:

4.

Date of written test

____________________

5.

Time of written test

0930 hrs

6.

Test Centre

____________________

(Photo Without attestation)

____________________

Paste your Passport

size photo (Without
attestation)

_____________________
______________________
______________________
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)
New Delhi 01