Online Registration Form

Personal Information

Note: All details must match with your final year DMC. If any contradiction/spelling change found in your form and final year DMC then your application will be rejected.
Apply For:
Registration For:
Email ID:
Applicant's Full Name (As per final year DMC):
Mobile Number:
Father Name (As per final year DMC):
Gender:
Marital Status:
Date of Birth (As per 10th Mark sheet/Certificate):
Place Of Birth:

Contact Information

Nationality:
Residence Address:
City:
District:
Pin Code:

  

Admission In
Examination Held In
Obtained Marks
Total Marks
Board/University
College/School

Training Started In
(As per Training Completion or College Relieving Certificate)
Training Completed on
(As per Training Completion or College Relieving Certificate)
Examination Held In
   (As per final year DMC)
Final Year Roll no. (As Per Final Year DMC)
Total Obtained Marks (All year)
Total Marks (All year)
Board/University:
College/School (As Per Final Year DMC)
Please check if your College/School is affiliated to PNRC for Registration. If your College/School is not affiliated to PNRC then your application may be rejected and no fees will be refunded.

I here by declare that all information provided in above mentioned fields is accurate upto my knowledge and concern.
Copyright © PNRC - Punjab Nurses Registration Council, 2016