Admission Form 2026–27 | Florence Nightingale School of Nursing, Ujjain

Course Enrolled

Select Course *

B.Sc. Nursing

4-Year Degree

G.N.M.

3-Year Diploma

Please select a course to continue.

Personal Information

Full Name of Applicant * (as per Aadhaar)

Full name is required.

Date of Birth *

Date of birth is required.

Age (auto-calculated)

Gender *

Please select your gender.

Blood Group

Category *

Please select your category.

Religion

Nationality *

Nationality is required.

Aadhaar Number *

Valid 12-digit Aadhaar number is required.

Family Information

Father's Name *

Father's name is required.

Mother's Name *

Mother's name is required.

Marital Status *

Unmarried Married

Please select marital status.

Contact Information

Email Address *

A valid email address is required.

Applicant's Contact Number *

Valid 10-digit number is required.

WhatsApp Number * Same as Contact Number

Valid 10-digit number is required.

Parent / Guardian Contact Number *

Must be a valid number, different from applicant's number.

This number belongs to *

Please specify whose number this is.

Address Details

📍 PRESENT ADDRESS

Address Line 1 *

Address line 1 is required.

Address Line 2 (optional)

Village / Town / City *

City / Village is required.

District *

District is required.

State *

State is required.

PIN Code *

Valid 6-digit PIN code is required.

📍 PERMANENT ADDRESS

Same as Present Address

Address Line 1 *

Address line 1 is required.

Address Line 2 (optional)

Village / Town / City *

City / Village is required.

District *

District is required.

State *

State is required.

PIN Code *

Valid 6-digit PIN code is required.

Document Upload

⚠️ Each file must be under 5 MB. Accepted formats: PDF, JPG, JPEG, PNG. Files will be automatically renamed with your name before submission.

Fee Structure

Registration Fees ₹ 2,500

Admission Fees ₹ 15,000

Total Payable ₹ 17,500

Scan & Pay via UPI

UPI / PhonePe / GPay / Paytm

Bank Transfer Details

Account Name Florence Nightingale
School of Nursing

Account No. 68150100000373

IFSC Code BARB0VJUJJA

Bank Bank Of Baroda

Upload Payment Proof

Transaction / UTR Number *

Transaction number is required.

Payment Screenshot *

Payment Screenshot

No file uploaded yet

Payment screenshot is required.

Declaration by Applicant

I hereby declare that all the information furnished in this Admission Form is true, correct, and complete to the best of my knowledge and belief. I understand that furnishing any false or misleading information, or concealment of any material fact, may result in rejection or cancellation of my admission at any stage. I agree to abide by all the rules, regulations, and code of conduct of Florence Nightingale School of Nursing, Ujjain and the affiliated bodies (MPMSU / INC / MPNRC). I also confirm that I have made the payment of ₹ 17,500 (Registration + Admission Fees) as mentioned above.

Submit button activates only after uploading payment screenshot, entering transaction number, and checking the declaration.

Application Submitted Successfully!

Your admission application has been received. Our admissions team will review your documents and contact you shortly.

📞 For Inquiries

7389780800 | 0734-2530218

✉️ florencenightingaleujjain18@gmail.com

Chak Jairampur, Near Naulakhi eco tourism park, Maksi Road, Ujjain (M.P.)