Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126008969
Application Id 58005049 Application Date 15-04-2026 01:45:36
Transaction Id pay_SeBBWROdJtjiOB Transaction Date 2026-04-16 18:54:40
Bank Reference No/ Order Id order_SeB8DNilBv2nwc / Paid Amount ₹ 3000
143034723
PERSONAL DETAILS
NAME NAINCY VERMA FATHER NAME MANNE LAL VERMA
MOTHER NAME SHASHI PRABHA VERMA GENDER FEMALE
AGE ON (December, 31,
DATE OF BIRTH 05/07/2005 21 YEARS, 5 MONTHS & 26 DAYS.
2026)
MOBILE NO. 9369918793 ALTERNATE MOBILE NO. 9651809477
WHATSAPP MOBILE NO. 9369918793 EMAIL VERMANAINCY259@[Link]
AADHAAR CARD NO. 403962599480 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
01 SHANKAR GANJ BISHWAN
VILLAGE OFFICE
DISTRICT SITAPUR STATE UTTAR PRADESH
PINCODE 261201
FULL ADDRESS FOR CORRESPONDENCE
HOUSE NO. / STREET / MOHALLA / AREA / POST
01 SHANKAR GANJ BISHWAN
VILLAGE OFFICE
DISTRICT SITAPUR STATE UTTAR PRADESH
PINCODE 261201
EXAM CITY PREFERENCE
PREFERENCE 1 : LUCKNOW PREFERENCE 2 : KANPUR PREFERENCE 3 : AYODHYA
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Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126008969
EDUCATIONAL QUALIFICATIONS
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
HINDI
ENGLISH
SBVMHSS MATHMATICS
High School UP BOARD AMARNAGAR 2020 600 489 81.50 SCIENCE
BISHWAN SITAPUR SOCIAL
SCIENCE
DRAWING
MAXIMUM MAXIMUM
SUBJECT OBTAINED MARKS SUBJECT OBTAINED MARKS
MARKS MARKS
Science 100 78 Mathematics / Other 100 78
Social Science 100 82 English 100 82
Hindi / Other Language 100 82
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
GENERAL
HINDI
SBVMHSS
ENGLISH
Intermediate UP BOARD AMARNAGAR 2022 500 352 70.40
PHYSICS
BISHWAN SITAPUR
CHEMESTRY
BIOLOGY
MAXIMUM MAXIMUM
SUBJECT OBTAINED MARKS SUBJECT OBTAINED MARKS
MARKS MARKS
Biology 100 82 Physics 100 57
Chemistry 100 58 English 100 74
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Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT)
Registration Id No. : 126008969
PASSPORT SIZE PHOTO & LIVE PHOTO
VERIFICATION PROFORMA
(Candidate Signature)
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 एतद्द्वारा 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।
Page 3