Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126068596
Application Id 58051060 Application Date 14-05-2026 07:12:15
Transaction Id pay_SpGTBgpyN0gLW6 Transaction Date 2026-05-14 19:13:22
Bank Reference No/ Order Id order_SpGSlCwxnB1cul / Paid Amount ₹ 2000
143126969
PERSONAL DETAILS
NAME MAN MOHAN SINGH FATHER NAME SHYAM VEER SINGH
MOTHER NAME SUNITA SINGH GENDER MALE
AGE ON (December, 31, 30 YEARS, 5 MONTHS & 28
DATE OF BIRTH 03/07/1996
2026) DAYS.
MOBILE NO. 9354165133 ALTERNATE MOBILE NO. 7827074590
WHATSAPP MOBILE NO. 9354165133 EMAIL MM868708@[Link]
AADHAAR CARD NO. 751249752650 ARE YOU A DOMICILE OF UTTAR-PRADESH? YES
CATEGORY SC (SCHEDULED CASTE) SUB-CATEGORY Not Applicable
ADDRESS
PERMANENT ADDRESS
HOUSE NO. / STREET / MOHALLA / AREA / POST FRIENDS COLONY
GALI NO 4
VILLAGE OFFICE SHIKOHABAD
DISTRICT FIROZABAD STATE UTTAR PRADESH
PINCODE 283135
FULL ADDRESS FOR CORRESPONDENCE
HOUSE NO. / STREET / MOHALLA / AREA / POST FRIENDS COLONY
GALI NO 4
VILLAGE OFFICE SHIKOHABAD
DISTRICT FIROZABAD STATE UTTAR PRADESH
PINCODE 283135
EXAM CITY PREFERENCE
GAUTAM BUDDHA
PREFERENCE 1 : AGRA PREFERENCE 2 : PREFERENCE 3 : GHAZIABAD
NAGAR
Page 1
Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT )
Registration Id No. : 126068596
EDUCATIONAL QUALIFICATIONS
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
ENGLISH
COMM, HINDI
COURSE A,
GYAN DEEP PUB
MATHEMATICS,
SCH STN RD
High School CBSE 2011 600 387 64.50 SCIENCE,
SHIKOHABAD
SOCIAL
FIROZABAD UP
SCIENCE,
FOUNDATION
OF IT
MAXIMUM OBTAINED MAXIMUM OBTAINED
SUBJECT SUBJECT
MARKS MARKS MARKS MARKS
Science 100 66 Mathematics / Other 100 66
Social Science 100 66 English 100 66
Hindi / Other Language 100 66
EXAMINATION BOARD / INSTITUTE / PASSING MAX. OBTAINED % OF
SUBJECTS
PASSED UNIVERSITY COLLEGE YEAR MARKS MARKS MARKS
ENGLISH,
BIOLOGY,
GYAN DEEP PUB
PHYSICS,
SCH STN RD
Intermediate CBSE 2013 500 314 62.80 CHEMISTRY,
SHIKOHABAD
PHYSICAL
FIROZABAD UP
EDUCATION,
PAINTING
MAXIMUM OBTAINED MAXIMUM OBTAINED
SUBJECT SUBJECT
MARKS MARKS MARKS MARKS
Biology 100 59 Physics 100 51
Chemistry 100 56 English 100 54
Page 2
Common Nursing Entrance Test (CNET) 2026
[Link]. Nursing (4 Years)
APPLICATION FORM (FINAL PRINT)
Registration Id No. : 126068596
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 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।
Page 3