Proforma for Faculty Members

Upon successful submission of the form, a pre-filled copy will be sent to the registered email ID, which must then be submitted physically at the workshop.
Mobile Number:
WhatsApp Number:
Name :
Designation:
Institute Name in which working currently:
E-mail id:
Residential Address:
RN Number:
RM Number:
TNAI Number:
Qualification Details
Additional Qualification (Optional):
Total Teaching Experience (in Years):
Bank Account Number:
Confirm Bank Account Number
IFSC Code:
Bank Name:
Branch Address:

Consent for the following duties. If yes, kindly tick ✓ the checkbox.


By filling this form, I accept the following terms:

  • Confidentiality: All information, including answer sheets, marks, and any related correspondence, will remain strictly confidential. No information will be shared with unauthorized personnel. I will maintain the highest standards of confidentiality and professionalism throughout my duties.
  • Accuracy and Integrity: I will perform my duties without any biased intention and will ensure accurate outcomes up to my best knowledge. I shall be responsible in case of deficiency found in my work.
Copyright © PNRC - Punjab Nurses Registration Council, 2016