Nurse Application Form

Full Name (as per certificate) *

Date of Birth *

Age *

Mobile Number *

Email ID *

OTP will be sent to this email for verification

🪪 Registration Details

WBNC Registered *

Yes

WBNC Registration Number

Application Number / Date Scheduled

Date Scheduled (if any)

Highest Nursing Qualification

Declaration: I confirm that all information provided is true and correct. I agree to share my profile with verified employers for recruitment purposes. I understand that any false information may lead to rejection of my application.

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