Mizoram Nursing Council — Official Digital Gateway

Statutory Application Notice

I do hereby apply to be admitted to the Register of Nurses / Midwives / Nurse-Midwives / Health Visitors / Basic Health Workers / Auxiliary Nurse Midwives under section 13 (a), (b), (c), (d) and (e) of the Mizoram Nursing Council Act, 1990. Please fill in all mandatory fields (*) accurately.

1. Personal & Contact Information

Applicant full name, guardian details, and contact address

Full Name *

Father's Name *

Date of Birth *

Phone Number *

Sex *

Permanent Address

House No. *

Landmark *

City / Village *

District *

PIN Code *

State *

2. Academic & Qualification Details

Nursing course completed, institute, and examination board

Course Passed *

Name of Training Institute *

Training Start Date *

Training End Date / Passing Year *

Date of Issuing Certificate *

Examination Board / University *

3. Employment Details

Current employment status, designation, and place of posting

Employment Status *

Designation *

Place of Posting *

4. Mandatory Document Uploads

Upload scanned images and PDF certificates (Max file size limits apply)

Passport Photo (In Nurse Uniform) * IMAGE (JPG/PNG)

Applicant Signature * IMAGE (JPG/PNG)

GNM / BSc / ANM Passing Certificate * PDF FORMAT

Original Document scan

Class 10 / HSLC Certificate * PDF FORMAT

Original Document scan

FOR TRAINED IN MIZORAM

Student Registration Card (Original PDF) *

FOR TRAINED OUTSIDE MIZORAM

Outside Council Registration Certificate (Original PDF) *

Marksheets First Year to Final Year (Original PDF) *

Applicant Undertaking & Declaration

I hereby undertake that if I am admitted to the Register, I will in the practice of my profession as Registered Nurse / Midwife / Nurse-Midwife / Health Visitor / Basic Health Worker / Auxiliary Nurse Midwife, observe and be bound by the rules and regulations issued by the Mizoram Nursing Council as far as they affect me. If the Mizoram Nursing Council shall at any time after due inquiry order my name to be removed from the Register, I will return my Certificate to the Registrar.