Apply for Admission — Kashyap College & School of Nursing

Section B — Contact & Address

C/o (Name)

Door / House No.

Street / Land Mark

Village / Town

Secretariat

Secretariat Code

Mandal *

District *

State

PIN Code

Student Phone *

WhatsApp Number

Email

Section C — Parent & Guardian Details

Father's Name *

Father's Aadhaar

Father's Phone (at least one of Father's / Mother's required)

Father's Occupation

Mother's Name *

Mother's Aadhaar

Mother's Phone

Mother's Occupation

Father is a Sanitary Worker

Guardian (if different from parents)

Guardian Name

Relationship

Guardian Phone

Section D — Educational Qualifications

SSC / 10th Details

SSC Hall Ticket No.

Year of Passing

Board

Type

Intermediate / 10+2 Details

Hall Ticket No. *

Month & Year of Passing *

Select month, then enter 4-digit year of passing

Board / University

Institution Name

Place of Institution

Science Percentage (%)

11th Class / 1st Year Intermediate

Enter each subject in a separate row. Add rows as needed. Leave blank rows if not applicable.

Subject Name	Theory Max Marks	Theory Obtained	Practical Max Marks	Practical Obtained



Total	—	—	—	—

12th Class / 2nd Year Intermediate

Enter each subject in a separate row. Add rows as needed. Leave blank rows if not applicable.

Subject Name	Theory Max Marks	Theory Obtained	Practical Max Marks	Practical Obtained



Total	—	—	—	—

Section E — Admission & CET Details

Admission Category *

CET Quota

CET Type

CET Hall Ticket No.

CET Rank

CET Year

Domicile

Service Category

Service Details

Section F — Bank & Scholarship Details

Scholarship Type

Caste Certificate No.

Income Certificate No.

Joint A/C Holder Name

Bank Name

Branch

IFSC Code

Account Number

Section G — Hostel Details

Hostel Required?

Yes No

Hostel Type

Special Categories

CAP (Ex-Servicemen) Sports Achievement Extra-Curricular

Section H — Document Uploads

📋 Please upload your documents wherever available.
Passport Photo and Signature must be JPG or PNG. All other documents must be in PDF format. Maximum file size: 1 MB per document. You may skip documents that are not yet available and submit them later.

Passport Size Photo (optional)

JPG or PNG. Max 1 MB.

Signature (optional)

JPG or PNG. Max 1 MB.

10th Class (SSLC) Certificate (optional)

PDF only. Max 1 MB.

Intermediate / 12th Class Certificate (optional)

PDF only. Max 1 MB.

Transfer Certificate (TC) (optional)

PDF only. Max 1 MB.

Study Certificates (6th to Intermediate) (optional)

PDF only. Max 1 MB. Combine all into one PDF if possible.

Caste Certificate (optional)

PDF only. Max 1 MB. Required for SC/ST/BC/OBC applicants.

Date of Birth Certificate (optional)

PDF only. Max 1 MB.

Aadhaar Card (optional)

PDF only. Max 1 MB.

NEET Rank Card (optional)

PDF only. Max 1 MB.

Section I — Declaration

I/We hereby declare that:

All information provided is true and correct to the best of my knowledge.
I will abide by all rules of Kashyap College & School of Nursing, Dr. NTRUHS, INC, and APNMC.
If I discontinue the course, I will pay the full fee for entire and all years of the course period.
I will maintain discipline in campus, hostel, and clinical areas throughout.
Any legal disputes shall be under the jurisdiction of courts at Srikakulam, AP.
All documents and certificates submitted are genuine. Any forgery will result in cancellation of admission.

I/We have read and agree to the above declaration. *

Kashyap College & School of Nursing

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