SSUHS


ENTRANCE EXAMINATION FOR ADMISSION INTO B.Sc. NURSING COURSE IN ASSAM (BOTH GOVT./PRIVATE) FOR THE SESSION 2025

COURSE OPTIONS

B.Sc. Nursing

PERSONAL INFORMATION

Name of the Candidate : * ( As per Certificate/Marksheet of HSSLC or equivalent )
Father's Name :
Mother's Name :
Sex : (Note : Male Applicant are not Eligble for Goverment Seat)	Male	Female
Date of Birth :
Age as on 31st December, 2025 :
Category :	GENERAL	OBC/MOBC	SC	STP	STH
EWS:	Yes	No
TGL:	Yes	No
Ex - TGL :	Yes	No
Char Area :	Yes	No
NEC Quota :	Yes	No
Upload Document :	File must be in .jpg or .jpeg format and file size must be less than 100 kb.
Are you Physically Handicapped : (Divyang)	Yes	No
Degree of Disability Percentage :	%
Nationality :	Indian	Others
Religion :	Hinduism	Islam	Christianity	Sikhism	Buddhism	Others
Physical Identification Marks :	1.
	2.
Are you a Permanent Resident of Assam? : (Note : PRC is Mandatory for Government Seat)	Yes	No

COMMUNICATION INFORMATION

Local Address :


City :
Pin :
District :
State :
Permanent Address :	As Above



City :
Pin :
District :
State :
STD Code :
Telephone :
WhatsApp Mobile No. :
Email Address :

CENTRE OF EXAMINATION

Choose any one Centre :

    Guwahati       Dibrugarh       Silchar       Jorhat      Barpeta       Tezpur       Diphu       Lakhimpur

   Kokrajhar     Nalbari     Nagaon     Dhubri     Shillong       Aizawl       Itanagar       Agartala       Imphal

Dimapur       Gangtok

SUBJECTS

Subjects you want to appear (10+2 Science) :

Physics

Chemistry

Biology

English

BOARD

Choose Board :

CBSE

OTHER BOARD

HSSLC EXAMINATION DETAILS

HSSLC (Passed/ Appearing): Passed Appearing
Date of passing HSSLC or Equivalent Examination :
Name of Educational Institution from where passed HSSLC or Equivalent Examination :
Name of Board/Council/University from where passed HSSLC or Equivalent Examination :

MARKS SECURED IN HSSLC OR EQUIVALENT EXAMINATION

Subject	Total Marks	Mark Secured	% marks Obtained
English
Physics
Chemistry
Biology
Aggregate Percentage

UPLOAD PHOTO AND SIGNATURE

Instruction For Photograph: => Size of photograph must be less than 35 kb. => Height of photograph must be between 250 pixel and 320 pixel. => width of photograph must be between 150 pixel and 220 pixel.
Instruction For Signature: => Size of signature must be less than 30 kb. => Height of signature must be between 100 pixel and 180 pixel. => width of signature must be between 150 pixel and 220 pixel.

Password :
Re-Enter Password :

DECLARATION BY THE CANDIDATE

I declare that above entries in the Application Form has been filled up by me and the entries made are correct as per my documents and to the best of my knowledge and belief. I agree that if any statement is proved to be false then the Authority shall have the right to take legal action against me for submitting false information or statement. I further declare that there is no allegation of misconduct against me and I have never been convicted for any offence involving moral turpitude.