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NSHM Knowledge Campus Online Application Form
You may submit your application now by providing the information required here and clicking SUBMIT APPLICATION. A fully completed application will enable us to respond quickly. We suggest that you look carefully at all parts of the form before starting to complete it. Applicants will normally be contacted within ten working days of submitting an application.

Note that fields marked with * must be filled in.

Personal Details
 
Personal Details

The name you provide here will be registered with NSHM Knowledge Campus and should be identical to the name that appears in your mark sheets of class Xth & XIIth .
Ensure that it is your full name (including given names in full) as stated on your identification document.
 
Title *
First Name *
Surname *
Gender *
Male Female
Date of Birth *
Date Month Year
Mother’s Name *
Father’s Name *
Category *
Nationality *
Address Line 1 *
Address Line 2
Address Line 3
State *
Pin Code *
Country *
Contact Numbers 1 *
Contact Numbers 2
E-mail
Programme Choice  
Select the course you would like to study *
Select the campus you would like to study *
 
   
Education and Employment  
Class X or Equivalent  
School *
Board *
Medium of Instruction
Percentage of Marks / Grade Obtained *
Year of passing
Class XII or Equivalent  
School / College *
Board *
Medium of Instruction
Year of passing
Percentage of Marks / Grade Obtained *
(Please write appearing if results not yet published)
Major Subjects :
Subject 1 *
Subject 2 *
Subject 3 *
Subject 4 *
Subject 5 *
Security Code *
 
Declaration  
By submitting this form you are declaring that the information submitted by you is correct to the best of your knowledge.

By submitting this form you are agreeing to NSHM Knowledge Campus processing personal data on this form or other data which NSHM Knowledge Campus may obtain from you or other people or organisations whilst you are applying for admission. You agree to the processing of such data for any purpose connected with your studies or for any other legitimate purpose.

After you click the submit button, the form will be sent. If you entered an email address into the Personal Details section, a copy will be sent to you automatically.
 
 
   
 
 
 
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