Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126032555
Application Id 58022239 Application Date 06-04-2026 11:44:57
Transaction Id pay_SaIpOR7xN42joL Transaction Date 2026-04-06 23:46:56
Bank Reference No/ Order Id order_SaIo9wkgRYKuL0 / Paid Amount 3000
143012151
PERSONAL DETAILS
NAME UMAR FAISAL FATHER NAME FAKHRUDDIN
MOTHER NAME SARFARAZ JAHAN GENDER MALE
AGE ON (December, 31, 20 YEARS, 7 MONTHS & 26
DATE OF BIRTH 05/05/2006
2026) DAYS.
MOBILE NO. 9026714511 ALTERNATE MOBILE NO. 8318559929
WHATSAPP MOBILE NO. 9026714511 EMAIL UMARFAISAL9026@[Link]
AADHAAR CARD NO. 995106029364 ARE YOU A DOMICILE OF UTTAR-PRADESH? YES
OBC (OTHER BACKWARD
CATEGORY SUB-CATEGORY Not Applicable
CLASSES)
ADDRESS
PERMANENT ADDRESS
HOUSE NO. / STREET / MOHALLA / AREA / POST
80/49 COOLIE BAZAR
VILLAGE OFFICE
CITY KANPUR NAGAR STATE UTTAR PRADESH
PINCODE 208001
FULL ADDRESS FOR CORRESPONDENCE
HOUSE NO. / STREET / MOHALLA / AREA / POST
80/49 COOLIE BAZAR
VILLAGE OFFICE
CITY KANPUR NAGAR STATE UTTAR PRADESH
PINCODE 208001
EXAM CITY PREFERENCE
PREFERENCE 1 : KANPUR PREFERENCE 2 : LUCKNOW PREFERENCE 3 : AGRA
Page 1
Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126032555
ACADEMIC QUALIFICATIONS
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
HINDI,
ENGLISH,
HALIM MUSLIM
MATHEMATICS,
INTER COLLEGE
High School UP BOARD 2023 600 340 56.67 SCIENCE,
CHAMANGANJ
SOCIAL
KANPUR NAGAR
SCIENCE,
DRAWING
MAXIMUM OBTAINED MAXIMUM OBTAINED
SUBJECT SUBJECT
MARKS MARKS MARKS MARKS
Science 100 56 Mathematics / Other 100 53
Social Science 100 58 English 100 53
Hindi / Other Language 100 53
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
GENERAL
HINDI,
SIDDIQ FAIZ E AM
ENGLISH,
Intermediate UP BOARD INTER COLLEGE 2025 500 284 56.80
PHYSICS,
KANPUR NAGAR
CHEMISTRY,
BIOLOGY
MAXIMUM OBTAINED MAXIMUM OBTAINED
SUBJECT SUBJECT
MARKS MARKS MARKS MARKS
Biology 100 56 Physics 100 66
Chemistry 100 58 English 100 60
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Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT)
Registration Id No. : 126032555
PASSPORT SIZE PHOTO & LIVE PHOTO
VERIFICATION PROFORMA
DECLARATION
I hereby declare that the particulars given in this application form are correct. If any relevant information is found to be concealed or incorrect my candidature /
admission may be cancelled. मैं एतद्द् वारा घोषणा करता / करती हूँ कि इस आवेदन पत्र में दी गई जानकारियां सही है। यदि कोई भी प्रासंगिक जानकारी छिपाई हुई या गलत पाई जाती है, तो
मेरी उम्मीदवारी / प्रवेश रद्द किया जा सकता है।
(Candidate Signature)
Page 3