Punjab Nurses Registration Council
Medical Sikhya Bhawan, 3rd floor, Sector 69, SAS Nagar, Punjab (India)
APPLICATION FOR THE GRANT OF PERMISSION TO APPEAR IN
THE SUPPLEMENTARY EXAMINATION GNM FIRST YEAR FOR SESSION AUGUST 2024
Student Details
Name:- BABLU KUMAR Enrollment No.:- USNM/2022/G-008 ( )
Father's Name:- RAMCHANDRA SINGH Mother's Name:- TETARI DEVI
Date of Birth:- 06-01-2003 (21y) Category:- General
Course Name:- GNM (First) Exam Ref. No.:- 26047415941
College Name:- UNIVERSAL INSTITUTE OF NURSING, BALLOPUR, LALRU (MOHALI)
Mobile Number:- 9416789542 Email-Id:- bablu678@gmail.com Aadhar Number:- 898387366179
Parmanent Address:- khangaritha darbhanga bihar 847105
Fee Details
Receipt No. Bank Ref. No. Transaction No. Amount Payment Mode Transaction Date
571594 41770226584 PNRC211163824222688552 1050 C 09-08-2024
Qualification
Qualification Board Roll No. Roll No. Marks
Matric Bihar Intermediate Education Council, Patna 1700117 2017 346/500 (69.2%)
Inter Bihar Intermediate Education Council, Patna 19010216 2019 342/500 (68.4%)
Subjects to Examination
Exam Details
I. Bio Science
Roll Number Course Exam Held In Result II. Behavioural Sciences
649684 GNM (First) February 2024 R-BIO R-BEH R-FON AB-FON(PR)
III. Nursing Foundation
IV. Practical-I Nursing Foundation
Declaration by Institute:-
A. Certified that Mr./Miss. BABLU KUMAR Mr S/o,D/o Sh. RAMCHANDRA SINGH has completed the
full course of training as required under the INC & PNRC syllabus and regulations and consider her
eligible to appear in GNM First examination.
B. The particulars given by the candidate are correct. She/He bears a good moral Character.
C. She/He has completed her/his clinical training and her/his attendance for the theory and practical
classes is as per INC and PNRC norms.
D. I verify eligibility/admission status of student before submission of examination form. I understand that
any inappropriate application may attract strict action against me or the institute.
PASTE CANDIDATE'S Sign. of Principal (With Office Stamp)
Sign. of Student LATEST PHOTOGRAPH Manimekalai C (Reg. No. 73375)
Date: 09-08-2024 HERE CROSS ATTESTED E-mail Id: principal.uin@ugichd.edu.in
Place: BY THE PRINCIPAL Mobile Number: 8725050034
