Admission Form - Sahera-Hasan Nursing & Midwifery Institute, Manikganj

Sahera-Hasan Nursing & Midwifery Institute

Chandair, Garpara, Manikganj, Dhaka, Bangladesh

01334-229422, 01326-188157 (Office)

01910-350580 (Principal)

Web: shnmi.edu.bd

Admission Form

Course Where Applying For :

First Name

Last Name

Father Name

Profession

Mother

Profession

Total Familly Income

Date of Birth

Phone Number

Local Guardian's 1 Information

Address

Permanent

Address Line 1

Address Line 2

City

State

Zip Code

Country

Present

Address Line 1

Address Line 2

City

State

Zip Code

Country

Religion

Marital Status

Gender

SSC or Equivalent

Passing Year

Registration No

Education Board

GPA with 4th subject

GPA without 4th subject

HSC or Equivalent

Passing Year

Registration No

Education Board

GPA with 4th subject

GPA without 4th subject

Admission test information

Roll

Admit Card No

User ID

Password

Admission Test Score

I declare that the above information is true. If any false information is found, my application will be cancelled. I further declare that I shall fully abide by the rules and regulations of the institution and any decision of the institution to which I may be admitted. In case of violation, I will be obliged to follow any decision taken by the college authority. After registration, if I cancel my admission, I will pay 50% of the course fee.