Guru Nanak College of Nursing Bursary Application
IMPORTANT: You may only submit this form one time. Please review your answers before submitting.

You may submit answers in Punjabi or English.
Email *
Your full name *
Include first, middle and last name.
Your program of study *
Your CURRENT year of study *
Your student ID number *
Your date of birth *
Your home address - HOUSE & STREET *
Your home address - ADDITIONAL LINE
E.g. for unit number or other identifying information
Your home address - CITY *
Your home address - DISTRICT *
Your home address - STATE *
Your home address - COUNTRY *
Your e-mail address *
Your personal mobile phone number *
Your father's name *
Your father's occupation *
Your mother's name *
Your mother's occupation *
Your family's estimated combined income for the year *
How are you currently supporting financial payments for your studies? *
Are you eligible for government support for your school fees? *
Please list your brother's names, their ages, and their occupation *
Please list your sister's names, their ages, and their occupation *
Please provide two non-family references and their phone numbers *
Do you agree to provide us with photographs of yourself or to have your photo taken, both of which will be published for public distribution by our organization if you are selected for this bursary? *
Do you agree to be contacted by Guru Nanak Mission Medical and Educational Trust, Canada India Education Society and their related organizations? *
Your personal statement  *
Please describe:

a) A little about yourself 
b) Why you need financial assistance 
c) What you hope to do after graduation (e.g. post-graduate studies, work, pursue additional areas of study, etc.).


You can write in Punjabi.
Is there any additional information you think we should know about your financial or personal situation?
IMPORTANT: Please do not repeat information requested or given above. This is an opportunity to let us know information that may affect your financial standing or ability to continue your studies.
Attestation *
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This form was created inside of Dhahan Prize for Punjabi Literature.