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Examination CommitteeNepal Nursing CouncilDhumbarahi, KathmanduAPPLICATION FORM FOR NATIONAL LICENSURE EXAMINATION FOR NUR...
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Application form nursing licence exam

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Application form nursing licence exam

  1. 1. Examination CommitteeNepal Nursing CouncilDhumbarahi, KathmanduAPPLICATION FORM FOR NATIONAL LICENSURE EXAMINATION FOR NURSES (NLEN)Please fill up in CAPITAL LETTER in English or Type.A. PERSONAL INFORAMTION1. Full name of Applicant:2. Father’s name:3. Mother’s name:4. Nationality:5. Date of Birth: / /Day Month Year6. Completed age: year7. Permanent Address:District ZoneVDC / Municipality Ward No.8. Temporary Address:Telephone number: (Home) (Mobile)E-mail address (if available):AffixapplicantphotoB. PROFESSIONAL EDUCATION1. Name of Nursing School / Institute:2. Address:3.Telephone number:4.Type of Program(Give tick  into the box  or specify it.) Proficiency Certificate Level of nursing (P.C.L.) in Nepal Bachelor Science in Nursing (B.Sc. N.)in Nepal Other: (country)(program)Date of Entry: / /Day Month YearDate of Graduation: / /Day Month YearReceived by:Name of NNC Staff : Signature of applicant:Date : Date :Note: Attach the documents as prescribed in Test Guideline (NLEN)

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