Common Nursing Entrance Test (CNET) 2024
Post Basic [Link]. Nursing (2 Years) APPLICATION FORM (FINAL PRINT)
Registration Id No. : 224176675
Application Id 48099414 Application Date 28-05-2024 05:30:18
Transaction Id pay_OFooDcoLJCNQAh Transaction Date 2024-05-28 12:15:32
Bank Reference No. order_OFoh8aN8hz3x19 Paid Amount 3000
Personal Details
Name PRANAV BAJPAI Father/Husband Name SUSHIL KUMAR BAJPAI
Mother Name PUSHPA BAJPAI Gender MALE
Date of Birth 07/07/2001 Age on (December, 31, 2024) 23 YEARS, 5 MONTHS & 24 DAYS.
Place of Birth SUBHANPUR MURADNAGAR BILHAUR KANPUR NAGAR Nationality INDIAN
Mobile No. 7275344346, 7275302757(Alternate) Email HARIOMBAJPAI2743@[Link]
Category GENERAL (UR) Sub-Category NA
Address
Permanent Address
House No./ Street / Village SUBHANPUR MURADNAGAR Mohalla / Area / Post Office BILHAUR
City KANPUR NAGAR State UTTAR PRADESH
Pincode 209202
Full Address for Correspondence
House No./ Street / Village SUBHANPUR MURADNAGAR Mohalla / Area / Post Office BILHAUR
City KANPUR NAGAR State UTTAR PRADESH
Pincode 209202
Academic Qualifications
Examination Board / Passing Max. Obtained % of
Passed University Institute / College Year Marks Marks Marks Subjects
High School UP BOARD SHIVAJI INTER 2016 600 391 65.17 HINDI,ENGLISH,MATH,SCIENCE,SOCIAL
COLLEGE SCIENCE,DRAWING
CHAUBIGAHI
BLHAUR
Intermediate UP BOARD SHIVAJI INTER 2018 500 346 69.20 HINDI,ENGLISH,PHYSICS,CHEMISTRY,BIOLOGY
COLLEGE
CHAUBIGAHI
BILHAUR
Examination Maximum Marks Obtained marks Examination Maximum Marks Obtained marks
HINDI,ENG,MATH,SCIENCE,SS,DRAWING 600 391 PCB,HINDI,ENG 500 346
HINDI,ENG,MATH,SCIENCE,SS,DRAWING 600 391 English 500 346
Examination State Institute / College Passing Max. Obtained % of Subjects
Passed Year Marks Marks Marks
GNM UTTAR SAAII COLLEGE OF 2021 600 413 68.83 ALL GNM SUBJECTS
PRADESH MEDICAL SCIENCE
AND
TECHNOLOGY
State Nurses Registration Council No. : 108762 Registration No. belongs to State : UTTAR PRADESH
Exam City Preference
Preference 1 : KANPUR Preference 2 : LUCKNOW Preference 3 : VARANASI
Bank Account Details for Refund
Account No. as per Bank 33181445937 Name as per Bank PRANAV IFSC Code as per Bank SBIN0001130
Record : Record : BAJPAI Record :
Common Nursing Entrance Test (CNET) 2024
Post Basic [Link]. Nursing (2 Years) APPLICATION FORM (FINAL PRINT)
Registration Id No. : 224176675
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)