5/20/24, 11:59 AM
Common Nursing Entrance Test (CNET) 2024
[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT)
Registration Id No. : 124127976
Application Id 48062443 Application Date 20-05-2024 11:51:30
Transaction Id pay_OCdspZxolnHvgm Transaction Date 2024-05-20 11:33:55
Bank Reference No. order_OCdsV7NGHiMmFy Paid Amount 3000
Personal Details
Name SAUMYA SINGH Father/Husband Name SUBHASH SINGH
Mother Name KAMINI SINGH Gender FEMALE
Date of Birth 13/09/2004 Age on (December, 31, 2024) 20 YEARS, 3 MONTHS & 18 DAYS.
Place of Birth UNNAO Nationality INDIAN
Mobile No. 9956612061, 9956090591(Alternate) Email SAUMYASINGH09951@[Link]
Category GENERAL (UR - ECONOMICAL BACKWARD CLASSES - EWS) Sub-Category NA
Address
Permanent Address
House No./ Street / Village 82 Mohalla / Area / Post Office SHAHGANJ
City UNNAO State UTTAR PRADESH
Pincode 209801
Full Address for Correspondence
House No./ Street / Village 82 Mohalla / Area / Post Office SHAHGANJ
City UNNAO State UTTAR PRADESH
Pincode 209801
Academic Qualifications
Passing Obtained
Examination Passed Board / University Institute / College Year Max. Marks Marks % of Marks Subjects
High School CBSE KENDRIYA VIDYALAYA 2021 500 376 75.20 ENGLISH
UNNAO HINDI
MATH
SCIENCE
SOCIAL
SCIENCE
Intermediate CBSE KENDRIYA VIDYALAYA 2023 500 334 66.80 ENGLISH
UNNAO HINDI
BIOLOGY
PHYSICS
CHEMISTRY
Examination Maximum Marks Obtained marks Examination Maximum Marks Obtained marks
Biology 100 62 Physics 100 63
Chemistry 100 52 English 100 76
Exam City Preference
Preference 1 : KANPUR Preference 2 : LUCKNOW Preference 3 : PRAYAGRAJ
Bank Account Details for Refund
Account No. as per Bank 3355000101296115 Name as per Bank SAUMYA IFSC Code as per Bank PUNB0335500
Record : Record : SINGH Record :
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5/20/24, 11:59 AM
Bank Account Details for Refund
Name of Bank : PUNJAB NATIONAL State : UTTAR District : UNNAO
BANK PRADESH
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5/20/24, 11:59 AM
Common Nursing Entrance Test (CNET) 2024
[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT)
Registration Id No. : 124127976
PASSPORT SIZE PHOTO & LIVE PHOTO
VERIFICATION PROFORMA
PASSBOOK FRONT / CANCELLED CHEQUE PHOTO
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.
(Candidate Signature)
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