Prospectus Form

Prospectus Form

    Course

    Name

    Father's Name

    Date of Birth

    Age

    Email

    Contact No.

    Qualification

    Examination

    Year of Passing

    Percentage

    High School (10TH)

    Intermediate (12TH)

    Obtained Marks in English subject in Intermediate Examination

    Note: The Prospectus will be delivered at the above address after online payment of Rs.500/- (Five Hundred only) through RTGS/NEFT to the following bank details:
    A/C Holder Name : Regency Institute of Nursing
    A/C No. : 59225102019000
    IFSC Code : HDFC0000127
    Bank Name : HDFC Bank
    Branch : Civil Lines, Kanpur

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