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