Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126084882
Application Id 58063899 Application Date 21-04-2026 04:50:15
Transaction Id pay_Sg7lnaNJUd7QlC Transaction Date 2026-04-21 16:52:14
Bank Reference No/ Order Id order_Sg7l2oGmTO5fZ9 / Paid Amount ₹ 3000
143046086
PERSONAL DETAILS
NAME KASHISH PANDEY FATHER NAME SANDEEP KUMAR PANDEY
MOTHER NAME ANJU PANDEY GENDER FEMALE
18 YEARS, 9 MONTHS & 9
DATE OF BIRTH 22/03/2008 AGE ON (December, 31, 2026)
DAYS.
MOBILE NO. 8795213428 ALTERNATE MOBILE NO. 8318888133
WHATSAPP MOBILE NO. 8795213428 EMAIL KASHISH80041@[Link]
AADHAAR CARD NO. 477442793124 ARE YOU A DOMICILE OF UTTAR-PRADESH? YES
GENERAL (UR - ECONOMICAL
CATEGORY SUB-CATEGORY Not Applicable
BACKWARD CLASSES - EWS)
ADDRESS
PERMANENT ADDRESS
HOUSE NO. / STREET / MOHALLA / AREA / POST
VILL BABHNAUTI SHANKARPUR
VILLAGE OFFICE
DISTRICT BAHRAICH STATE UTTAR PRADESH
PINCODE 271825
FULL ADDRESS FOR CORRESPONDENCE
HOUSE NO. / STREET / MOHALLA / AREA / POST
VILL BABHNAUTI SHANKARPUR
VILLAGE OFFICE
DISTRICT BAHRAICH STATE UTTAR PRADESH
PINCODE 271825
EXAM CITY PREFERENCE
PREFERENCE 1 : LUCKNOW PREFERENCE 2 : GONDA PREFERENCE 3 : AYODHYA
Page 1
Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126084882
EDUCATIONAL QUALIFICATIONS
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
HINDI,
SARASWATI VIDYA
ENGLISH,
MANDIR INTER
MATHEMATICS,
High School UP BOARD COLLEGE 2023 600 498 83.00
SCIENCE, S
MADHAVPURI
SCIENCE,
BAHRAICH
DRAWING
MAXIMUM OBTAINED MAXIMUM OBTAINED
SUBJECT SUBJECT
MARKS MARKS MARKS MARKS
Science 100 83 Mathematics / Other 100 53
Social Science 100 93 English 100 84
Hindi / Other Language 100 93
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
GENERAL
SARASWATI VIDYA
HINDI,
MANDIR INTER
ENGLISH,
Intermediate UP BOARD COLLEGE 2025 500 396 79.20
PHYSICS,
MADHAVPURI
CHEMISTRY,
BAHRAICH
BIOLOGY
MAXIMUM OBTAINED MAXIMUM OBTAINED
SUBJECT SUBJECT
MARKS MARKS MARKS MARKS
Biology 100 73 Physics 100 78
Chemistry 100 86 English 100 84
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Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT)
Registration Id No. : 126084882
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