Registration - Nurses' Foreign Language Training 2025

Lead Form

Instructions

Please fill in all the fields accurately. Providing incorrect / incomplete information will hamper the quality of selection process for shortlisting eligible candidates for training and overseas placement programs by KVTSDC.

Registration is successful only if you submit (1) a properly filled registration form and (2) answer all of the questions in the pre-screening test.

Personal Information

Full Name (as per Aadhaar):

Gender:

Date Of Birth

Caste:

Sub Caste

Address

District

PIN Code

Select State

Other District

Email ID:

Mobile Number (WhatsApp preferred):

Aadhaar Number:

Passport Number:

Passport Expiry Date:

Are you a beneficiary of YUVANIDHI scheme?

Yuvanidhi Registration Application Ref Number:

Karnataka Nursing Council Regn. No:

Year of Registration:

Educational & Professional Details

Highest Nursing Qualification:

Specify Highest Nursing Qualification

Year of Completion of Nursing Course:

Current Employment Status:

Percentage / CGPA obtained

Total Years of Clinical Work Experience:

Career Aspirations: Foreign Language Training & Overseas Career

Are you looking for an overseas job placement?

Yes

Interested Pathway - Select ( Max 2 )

Preferred Countries of Interest - Select ( Max 2 )

Specify Other Country

Language Proficiency

ENGLISH

Have you appeared for any English language proficiency exam (like OET/IELTS)?

Yes

Name of Exam:

Date of Attempted

Score (if known)

Other Foreign Languages

Have you appeared for any foreign language exam other than English?

Yes

Name of Exam

Date of Attempted

Score / Result

Other Country Nursing Work Permit Details

Have you taken any international nursing exams (e.g., NCLEX, DOH, DHA)?

Yes

Specify Exams & Scores:

Declaration

Program Registration data privacy and Terms & Conditions of Selection in Nursing Conclave

By submitting this form, I agree to the collection, storage, and use of my personal, academic, and professional information by KVTSDC and its authorized partners for the purpose of overseas education guidance, recruitment, training, and related services. I understand that my data may be shared with relevant foreign institutions, employers, or agencies as part of Nursing Conclave Program objectives. KVTSDC will take reasonable measures to ensure data confidentiality and responsible usage.

I understand that shortlisting for the Nurses’ Conclave does not guarantee any selection. If selected, I may be considered for applicable Foreign Language Training (sponsorship if available subject to funding/security bond clearance) and further overseas job recruitment support as per KVTSDC’s applicable terms and conditions that will be made available at the time of final selection stage.

I have read and agree to the Terms and Conditions and Privacy Policy

Signature of the Applicant (Enter Name)