Common Nursing Entrance Test (CNET) 2025

[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT )

Registration Id No. : 125114100

Application Id 58095352 Application Date 26-04-2025 07:58:59

Transaction Id pay_QNYFsre2n2IR0K Transaction Date 2025-04-26 09:49:12
Bank Reference No. order_QNWTzw7OMiGg0R Paid Amount 3000

Personal Details
Name RAKHI VERMA Father Name CHANDRASEN
Mother Name RADHA DEVI Gender FEMALE
Date of Birth 01/01/2006 Age on (December, 31, 2025) 19 YEARS, 11 MONTHS & 30 DAYS.
Mobile No. 7348648501 Alternate Mobile No. 8303883976
WhatsApp Mobile No. 7348648501 Email ESHUVERMA7318@[Link]
Aadhaar Card No. 542519441577 Are you a Domicile of Uttar-Pradesh? YES
Category OBC (OTHER BACKWARD Sub-Category NA
CLASSES)

Address
Permanent Address
House No./ Street / Village 24 VILLAGE JIGNAHA KHANPUR,GHUNSI Mohalla / Area / Post Office POST RAIPUR GHUNSHI
City KHERI State UTTAR PRADESH
Pincode 262805
Full Address for Correspondence
House No./ Street / Village 24 VILLAGE JIGNAHA KHANPUR,GHUNSI Mohalla / Area / Post Office POST RAIPUR GHUNSHI
City KHERI State UTTAR PRADESH
Pincode 262805

Academic Qualifications
Passing Obtained
Examination Passed Board / University Institute / College Year Max. Marks Marks % of Marks Subjects
High School UP BOARD SARSWATI V M INT 2021 600 402 67.00 HINDI
COLL GOLA LAKHIMPUR ENGLISH
KHERI MATHEMATICS
SCIENCE
SOCIAL
SCIENCE
DRAWING

Subject Maximum Marks Obtained marks Subject Maximum Marks Obtained marks
Science 100 60 Mathematics / Other 100 63
Social Science 100 64 English 100 67
Hindi / Other Language 100 61

Intermediate UP BOARD SARSWATI V M I 2023 500 344 68.80 GENERAL

COLLEGE GOLA HINDI
LAKHIMPUR KHERI ENGLISH
PHYSICS
CHEMISTRY
BIOLOGY

Subject Maximum Marks Obtained marks Subject Maximum Marks Obtained marks
Biology 100 78 Physics 100 67
Chemistry 100 67 English 100 69

Exam City Preference

Preference 1 : LUCKNOW Preference 2 : BAREILLY Preference 3 : KANPUR
Bank Account Details for Refund
Account No. as per Bank 319122010000969 Name as per Bank Record RAKHI VERMA IFSC Code as per Bank UBIN0931918
Record : : Record :
Name of Bank : UNION BANK OF State : UTTAR District : KHERI
INDIA PRADESH
 Common Nursing Entrance Test (CNET) 2025
[Link]. Nursing (4 Years) APPLICATION FORM (FINAL PRINT)
Registration Id No. : 125114100

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)