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SIMAS Admission Nursing Form

The document is an admission form for the Sindh Institute of Medical & Allied Sciences College of Nursing, affiliated with Jinnah Sindh Medical University. It collects personal and educational information from applicants for programs in BS Nursing and Certified Nursing Assistant. Additionally, it outlines required documents and a processing fee for submission.

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talpursana10
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2 views3 pages

SIMAS Admission Nursing Form

The document is an admission form for the Sindh Institute of Medical & Allied Sciences College of Nursing, affiliated with Jinnah Sindh Medical University. It collects personal and educational information from applicants for programs in BS Nursing and Certified Nursing Assistant. Additionally, it outlines required documents and a processing fee for submission.

Uploaded by

talpursana10
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Sindh Institute of Medical & Allied Sciences

College of Nursing
(International Health Education System)

Affiliated with Jinnah Sindh Medical University (JSMU)

Admission Form
Session:
Paste recent
Please Tick one Choice: passport size
photograph
 BS Nursing (Four Years Degree Program)
 Certified Nursing Assistant CNA (Two Years Diploma Program)

PERSONAL INFORMATION:
Name:
(As per SSC or equivalent certificate in block letters)

S/O, D/O:
(As per SSC or equivalent certificate in block letters)

Date of Birth: Gender: Male Female


CNIC No: - -
Current Address:

Permanent Address:

Tel No: Mob No: Occupation:


Domicile: Nationality: Religion:
Marital Status: Single Married.
Next of Kin:
Relationship:
Address:
Phone # Mobile #

Page 1|3
EDUCATIONAL INFORMATION:
Academic Qualification:
Academic Qualification Year of Total Obtained Division Name Board/
Passing Marks Marks % / Grade of University
Institute
Secondary School
Certificate (SSC Part I)
Secondary School
Certificate (SSC Part II )
FSC / HSSC (Part I)

FSC / HSSC (Part II)

Others

Reference No. 01:


Name:
CNIC No: - -
Designation:
Address:
Telephone No: Mobile No:

Reference No. 02:


Name:

CNIC No: - -
Designation:
Address:
Telephone No: Mobile No:

Declaration:
It is to certify that the above-mentioned information is true and correct. If any content or
document found incorrect or false any action against me may be taken (i.e. revoke my admission
or termination or training any time).

Signature of candidate Signature of Parents/guardian

Date: Date:

Page 2|3
Form should be submitted along with following documents:
1. Attested two copies of Certificates Mark Sheets Others Academic
qualification.
2. Provisional certificate (In case you have not received original Board certificate) duly
attested.
3. Six clear recent passport size photographs with white background.
4. Attested two copies of CN.I.C. (Own and father/husband).
5. Two copies of Sindh Domicile & Form D (duly attested).
6. Migration certificate is required if HSSC is outside the Karachi Board.
7. Permission letter from parents/guardians.
8. Application Processing Fee of 2,000 Rupees.

Page 3|3

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