Rs.1 CERTIFICATE OF TRAINING Sr.No.
_____
Name of the Institution______________________________________________________
With full Address__________________________________________________________
We hereby certify that Shri/Smt.______________________________________________
Has undergone____________________________________________________________
(Name of the Training)
Prescribed by the Act, Rules and Bye laws of the Maharashtra Nursing Council, Mumbai.
From--------------------------------- To -------------------------------------------------------------------
From--------------------------------- To -------------------------------------------------------------------
From--------------------------------- To -------------------------------------------------------------------
Also he/she has taken training for----------------------------------------------------------------------------
(Name of the Training)
At----------------------------------------------------------------------------------------------------------------------
(Name of the Training Institution)
From-------------------------------------to ----------------------------------- as laid down by the Council.
His/Her Date of Birth as Per School Leaving Certificate is---------------------------------------------
And the place Birth is--------------------------------------------------------------------------------------------
He/She is Single/Married.
It is also certified that:-
#(a) He/She is not taken leave for a longer period than that prescribed in the rules.
#(b) He/She is not taken leave for a longer period than prescribed in the rules which
has been Made up by him/her.
It is also certified that He/She has passed the examination conducted by the Council/University Vide
Seat No.--------------------------------- held in the month of -------------------------------------------
Place:----------------------------
Date:----------------------------
Name and Signature of the Principal, Name and Signature of
School/College of Nursing the Matron of the Institution
With rubber Stamp. With Rubber Stamp.
#Strike off which is not applicable.
*if the hospital is a partial training school,name of training. The name of hospital and length of
period where additional training taken is to be shown in this Colum.
(G.C.P)0 2105(B) (20000.12.2011)