YENEPOYA INSTITUTE OF NURSING SCIENCES,

DERALAKATTE, MANGALORE [Recognised by INC & KSDNEB]

(Attached to Yenepoya University Hospital)

SPONSORED BY

ISLAMIC ACADEMY OF EDUCATION (Regd.) [A Muslim Minority Educational Institution]

UNIVERSITY ROAD, DERALAKATTE, MANGALORE 575 018 Ph. No. 0824-2204668 Fax – 0824- 2204667

Email : reachus@yenepoya.org Web: www.yenepoya.edu.in _______________________________________________________________________________

ADMISSION NOTIFICATION – 2014-15

Applications are invited from eligible candidates for admission to the following courses for the Academic year 2014-15.

Diploma in General Nursing & Midwifery Course (GNM)– 3 ½ YEARS – 50seats

Eligibility: 1. A pass in Pre-University (10+2) or equivalent course from recognised by a Board/ University. (Science Combination preferred). 2. Shall have completed 17 years of age on or before 31st August 2014 3. Maximum age limit 25 years. Facilities: a) Some seats are reserved for merited and those who excelled in sports,

who will be exempted from payment of Tuition fee. b) Few seats for admission to P.B.B.Sc. (Nursing) course will be reserved in the sister institution after completion of GNM course. c) Job opportunity in the Yenepoya Health Care Institutions. The selection shall be made as per the norms and rules laid down by the Competent Authorities.

Last date for receipt of applications … 20.08.2014

Classes to commence on … 01.09.2014

Application forms can also be obtained from the office by sending a sum of Rs.200/- in cash or by a D.D. drawn in favour of Islamic Academy of Education and payable at Mangalore. Duly filled in applications should reach the undersigned on or before the last date prescribed. DIRECTOR (ACADEMICS & ADMINISTRATION) FOR FURTHER DETAILS CONTACT:

PRINCIPAL YINS : 0824-2204668

pg 1 of 2

APPLICATION FOR ADMISSION TO DIPLOMA IN GENERALNURSING & MIDWIFERY COURSE - 2014 - 2015(To be filled in by the Applicant in BLOCK letters. Incomplete applications will be rejected)

Recent

Passport Size

Photograph

to be affixed here

Full Name :

Gender : Blood group :

Date of Birth : Place of birth :

Father’s name : Occupation :

Mother’s Name : Occupation :

Religion : Caste : (Specify Category - SC/ST/OBC/GM)

Mother Tongue :

Marital Status : Name of Spouse :

E-mail ID :

City of Domicile : State :

Nationality :

Passport Number : Valid Until : Issued by:

CORRESPONDENCE ADDRESS:

Pin :

Phone : Mobile Phone :

APPLICANT’S DETAILS

YENEPOYA INSTITUTION OF NURSING SCIENCES(Sponsored by Islamic Academy of Education Regd.))

ISLAMIC ACADEMY OF EDUCATION (Regd.)[ A Muslim Minority Educational Institution ]

UNIVERSITY ROAD, DERALAKATTE, MANGALORE - 575 018Tele. : +91 824 2204668 Fax : 0824 - 2204667www.yenepoya.edu.in reachus@yenepoya.org

ISLA

MIC ACADEMY OF EDUCATION

Application / Registration fee `. 200/- paid by DD No.

Dated Bank Name

Last Date for receipt of Application : 20/08/2014

pg 2 of 2

Examination

Xth Std.

P.U.C. / Equivalent

Any Other Examination

MaximumMarks

Name and Address of

School / CollegeName of Exam

Board / UniversityTotal

MarksSecured

No. ofAttempts

Year ofPassing

% Marks Secured

(Please attach copies of certificates & statement of marks in support of the above details.

ACADEMIC DETAILS

ENCLOSURES (DO NOT ENCLOSE ORIGINALS)

1. Marks card of the qualifying Examination. 2. SSLC Marks Card (Date of birth). 3. Conduct certificate from the college last studied. 4. Transfer

Certificate. 5. Migration Certificate (for those who have studied other than PUC of Karnataka). 6. Eligibility Certificate (for those who have

studied other than PUC of Karnataka). 7. Community Certificate (for minority candidates). 8. S.C. / S.T. / O.B.C. Certificate. 9. Domicile Certificate

/ Nativity Certificate. 10. Medical fitness certificate. 11. DD for `. 200/- in favour of Islamic Academy of Education, payable at Mangalore – if not

already paid.

RAGGING IS PROHIBITED IN YENEPOYA INSTITUTIONS“Ragging, by any student of the Yenepoya Institutions, is strictly prohibited, whether within the campus or

outside, punishable under the law. If any incident of ragging comes to the notice of the authority, the

concerned student perpetrator shall be given liberty to explain, and if his explanation is not found satisfac-

tory, he is liable to be expelled from the Institution.”

DECLARATION by APPLICANT & THE PARENT :The statements made above are true, to the best of our knowledge and belief. If found untrue, we are prepared

to forego our seat. We undertake to abide by all the rules and regulations relating to the university framed from

time to time. We understand that the university has the authority to expel a student for disinterest in studies,

misbehavior, violation of rules and regulations. We hereby declare that we know the financial obligation and we

can afford and undertake to pay the tuition and other fees payable to the university. We also understand that

the fees once paid will not be refunded for any reasons.

Candidate’s Signature

Place :

Date : Signature of Parent / Guardian

I Year (Rs) II Year (Rs) III Year (Rs) IV Year (Rs)

Tuition Fees10,000 10,000 10,000 5,000

Rent Per Year12,000 12,000 12,000 6,000

Mess Deposit5,000 - - -

GRAND TOTAL27,000 22,000 22,000 11,000 82,000

Note:

1) Hostel is compulsory for all the students.

2) Hostel Food & Establishemnt charges as per actual to be paid monthly.

3) The Fee structure is provisional and is liable to be revised and fixed by the appropriate authority.

4) Every candidate shall pay the remaining course fee to the college in the event he/she leaving

the course before its completion

5) Payment by demand draft in favor of "YENEPOYA INSTITUTE OF NURSING SCIENCES" payable

at Mangalore.

YENEPOYA INSTITUTE OF NURSING SCIENCES

GENERAL NURSING FEE STRUCTURE FOR THE 2014-15 BATCH