Common Nursing Entrance Test (CNET) 2024
[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT)
Registration Id No. : 124175885
Application Id 48097463 Application Date 28-05-2024 12:12:33
Transaction Id pay_OFm1BXqkCHxnaQ Transaction Date 2024-05-28 09:28:29
Bank Reference No. order_OFm0MFjTFgvmdn Paid Amount 3000
Personal Details
Name ANKITA Father/Husband Name HARISHANKAR TIWARI
Mother PRAMILA Gender FEMALE
Name
Date of Birth 01/07/2000 Age on (December, 31, 24 YEARS, 5 MONTHS & 30 DAYS.
2024)
Place of Birth PRAMANPUR Nationality INDIAN
Mobile No. 8467889210, 9415202899(Alternate) Email JEEMAIN2024FOCUSSED@[Link]
Category GENERAL (UR - ECONOMICAL BACKWARD CLASSES - Sub-Category NA
EWS)
Address
Permanent Address
House No./ Street / Village 78S Mohalla / Area / Post Office SUNDARPUR MEVPUR
City SULTANPUR State UTTAR PRADESH
Pincode 228161
Full Address for Correspondence
House No./ Street / Village 78S Mohalla / Area / Post Office SUNDARPUR MEVPUR
City SULTANPUR State UTTAR PRADESH
Pincode 228161
Academic Qualifications
Passing Max. Obtained % of
Examination Passed Board / University Institute / College Year Marks Marks Marks Subjects
High School UP BOARD J KHAKI BABA I C 2014 600 461 76.83 HINDI, ENGLISH,
SARSI KADIPUR SANSKRIT,
SULTANPUR MATHEMATICS,
SCIENCE,SOCIAL
SCIENCE
Intermediate UP BOARD SRI B R SINGH S S I C 2016 500 340 68.00 GENERAL
PAKARPUR HINDI,ENGLISH,PHYSICS,
SULTANPUR CHEMISTRY, BIOLOGY
Examination Maximum Marks Obtained marks Examination Maximum Marks Obtained marks
Biology 100 84 Physics 100 67
Chemistry 100 64 English 100 54
Exam City Preference
Preference 1 : PRAYAGRAJ Preference 2 : AZAMGARH Preference 3 : VARANASI
Bank Account Details for Refund
Account No. as per Bank 47838100023717 Name as per Bank HARISHANKAR IFSC Code as per Bank BARB0HARSHUL
Record : Record : TIWARI Record :
Name of Bank : BANK OF State : UTTAR PRADESH District : SULTANPUR
BARODA
Common Nursing Entrance Test (CNET) 2024
[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT)
Registration Id No. : 124175885
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)