Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126245128
Application Id 58185590 Application Date 19-05-2026 07:22:37
Transaction Id pay_SrHSI3WxWvKIZX Transaction Date 2026-05-19 21:29:15
Bank Reference No/ Order Id order_SrHRJ9PEyYXNsD / Paid Amount ₹ 3000
143163084
PERSONAL DETAILS
NAME HARIKESH CHAUHAN FATHER NAME VISHNUDEV CHAUHAN
MOTHER NAME MEERA DEVI GENDER MALE
17 YEARS, 11 MONTHS & 14
DATE OF BIRTH 17/01/2009 AGE ON (December, 31, 2026)
DAYS.
MOBILE NO. 8112581024 ALTERNATE MOBILE NO. 8604458582
WHATSAPP MOBILE NO. 8112581024 EMAIL HARIKESHC9335@[Link]
AADHAAR CARD NO. 688217059390 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
KUTUBPUR, MAU BAHADURPUR
VILLAGE OFFICE
DISTRICT MAU STATE UTTAR PRADESH
PINCODE 221602
FULL ADDRESS FOR CORRESPONDENCE
HOUSE NO. / STREET / MOHALLA / AREA / POST
KUTUBPUR, MAU BAHADURPUR
VILLAGE OFFICE
DISTRICT MAU STATE UTTAR PRADESH
PINCODE 221602
EXAM CITY PREFERENCE
PREFERENCE 1 : VARANASI PREFERENCE 2 : GORAKHPUR PREFERENCE 3 : PRAYAGRAJ
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Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126245128
EDUCATIONAL QUALIFICATIONS
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
HINDI,
ENGLISH,
SANSKRIT,
B P S PUBLIC I C
High School UP BOARD 2023 600 547 91.17 MATHEMATICS,
MADHUBAN MAU
SCIENCE,
SOCIAL
SCIENCE
MAXIMUM OBTAINED MAXIMUM OBTAINED
SUBJECT SUBJECT
MARKS MARKS MARKS MARKS
Science 100 92 Mathematics / Other 100 97
Social Science 100 91 English 100 90
Hindi / Other Language 100 88
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
GENERAL
HINDI,
BPS PUBLIC I C ENGLISH,
Intermediate UP BOARD 2025 500 377 75.40
MADHUBAN MAU PHYSICS,
CHEMISTRY,
BIOLOGY
MAXIMUM OBTAINED MAXIMUM OBTAINED
SUBJECT SUBJECT
MARKS MARKS MARKS MARKS
Biology 100 95 Physics 100 58
Chemistry 100 82 English 100 67
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Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT)
Registration Id No. : 126245128
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