Call us :
+91 94480 40825
Email :
admission@harshainstitutions.com
Toggle navigation
Menu
Home
About Us
Profile
Chairman's Message
Vice-Chair Person's Message
CEO Message
Principal's Message
Campus
Courses
Nursing
M.Sc Nursing
Psychiatric Nursing
Medical Surgical Nursing
Obstetrics and Gynecology Nursing
Paediatric Nursing
Community Health Nursing
B.Sc Nursing
P.B.B.Sc Nursing
GNM Nursing
Post Basic Critical Care Nursing
Post Basic Emergency & Disaster Management Nursing
Harsha College of Pharmacy
Para-medical Sciences
Allied Health Sciences
BSc in Medical Laboratory Technology
BSc in Imaging Technology(MRI / CT Scan Technician)
BSc in Operation Technology
BSc in Perfusion Technology
BSc in Optometry
BSc in Renal Dialysis Technology
Diploma Courses
DMLT - Diploma in Medical Laboratory Technology
DXRT - Diploma in X-Ray Radiology Technology
DHI - Diploma in Health Inspector
DMRT - Diploma in Medical Records Technology
DOTT - Diploma in Operaion theatre Technology
DOT - Diploma in Opthalmic Technology
DDT - Diploma in Dialysis Technology
Harsha Pre-university College
Arts
Commerce
Science
Harsha International Public School(CBSE)
Affiliations
Faculty / Staff
Placements
Facilities
Gallery
Contact Us
Admissions
Apply for Admission
Applicant's Form
* Mandatory fields
Select the Course *
:
M.Sc Nursing in Medical Surgical
M.Sc Nursing in Obstetrics and Gynecology Nursing
M.Sc Nursing in Paediatric
M.Sc Nursing in Psychiatry
M.Sc Nursing in Community Health
B.Sc Nursing
P.B.B.Sc Nursing
General Nursing & Midwifery(GNM)
Post Basic Critical Care Nursing
Post Basic Emergency & Disaster Management Nursing
Harsha College of Pharmacy
BSc in Medical Laboratory Technology
BSc in Imaging Technology(MRI / CT Scan Technician)
BSc in Operation Technology
BSc in Perfusion Technology
BSc in Optometry
BSc in Renal Dialysis Technology
DMLT - Diploma in Medical Laboratory Technology
DXRT - Diploma in X-Ray Radiology Technology
DHI - Diploma in Health Inspector
DMRT - Diploma in Medical Records Technology
DOTT - Diploma in Operaion theatre Technology
DOT - Diploma in Opthalmic Technology
DDT - Diploma in Dialysis Technology
Admission Coordinator ID Leave blank if none
:
Name of the Applicant *
:
Sex
:
Male
Female
Nationality
:
Indian
Others
Other Nationality
:
Date of Birth *
:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
Permanent Address *
:
City *
:
Country
:
State *
:
Select
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagra Haveli
Diu and Daman
Delhi
Goa
Gujrath
Haryana
Himachal Pradesh
Jammu and Kashmir
Jarkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
UttraKhand
Uttar Pradesh
West Bengal
Pin *
:
Copy From Above
:
Correspondence Address
:
City
:
State
:
Select
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagra Haveli
Diu and Daman
Delhi
Goa
Gujrath
Haryana
Himachal Pradesh
Jammu and Kashmir
Jarkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
UttraKhand
Uttar Pradesh
West Bengal
Pin
:
E-mail *
:
Landline
:
-
Student Mobile Number *
:
Parent's work address
Name of the Parent / Guardian
:
Occupation of Parent / Guardian
:
Work Address of the parent
:
E-mail
:
Landline
:
-
Mobile Number
:
Additional Info
Local Address of Applicant (if any, in Bangalore)
:
Bangalore Telephone Numbers
:
Category
Whether the Candidate belongs to SC/ST or BC/BT *
:
Yes
No
Whether the Candidate is NRI/Foreign National *
:
Yes
No
Results Awaiting
:
12th standard academic details
12th Standard Board Name *
:
Marks obtained in Physics *
:
Marks obtained in Chemistry *
:
Marks obtained in *
Mathematics
Biology
:
Marks obtained in English *
:
I declare that I have secured the passing marks as per the norms of the 12th standard board I studied in
Languages studied
First Language
:
Second Language
:
(If any )Upload Here
Upload1
:
Upload2
:
Upload3
:
Upload4
:
Declaration by the Candidate
I declare that the above information is true and correct to the best of my knowledge and belief.
Declaration by the Parent / Guardian:
I hereby declare that I have known the financial obligtion of my ward and I can afford to pay all the costs and I undertake to pay the Tuition and other fees payable to the College under the rules in force & which may be framed from time to time by the Management. I am aware that the fees paid to the college for admission will be forfeited in case of his/her discontinuation of the studies for any reason. I also stand by the declaration given by my son / daughter to the college.