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    College of Nursing, GSVM Medical College: Personal Information

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    suneel kumar
    Himnshu Kumar has submitted an application form for admission to the B.Sc. Nursing program at the College of Nursing, GSVM Medical College in Kanpur, Uttar Pradesh. The form provides his personal details like name, date of birth, address, academic qualifications from high school and intermediate school, and payment details. Himnshu has declared that all information submitted in the application form is true to the best of his knowledge.

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    College of Nursing, GSVM Medical College: Personal Information

    Uploaded by

    suneel kumar
    111 views2 pages
    Himnshu Kumar has submitted an application form for admission to the B.Sc. Nursing program at the College of Nursing, GSVM Medical College in Kanpur, Uttar Pradesh. The form provides his personal details like name, date of birth, address, academic qualifications from high school and intermediate school, and payment details. Himnshu has declared that all information submitted in the application form is true to the best of his knowledge.

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    Himnshu Kumar has submitted an application form for admission to the B.Sc. Nursing program at the College of Nursing, GSVM Medical College in Kanpur, Uttar Pradesh. The form provides his personal details like name, date of birth, address, academic qualifications from high school and intermediate school, and payment details. Himnshu has declared that all information submitted in the application form is true to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    111 views2 pages

    College of Nursing, GSVM Medical College: Personal Information

    Uploaded by

    suneel kumar
    Himnshu Kumar has submitted an application form for admission to the B.Sc. Nursing program at the College of Nursing, GSVM Medical College in Kanpur, Uttar Pradesh. The form provides his personal details like name, date of birth, address, academic qualifications from high school and intermediate school, and payment details. Himnshu has declared that all information submitted in the application form is true to the best of his knowledge.

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    COLLEGE OF NURSING, GSVM MEDICAL COLLEGE

    Kanpur, Uttar Pradesh


    Entrance Form Details : 2020-21

    COURSE : B. SC. PART I NURSING PROGRAMME (4 YEARS) REGISTRATION NO. 10220235035

    PERSONAL INFORMATION
    STUDENT NAME : HIMNSHU KUMAR
    AADHAR NUMBER : 910235632267
    DATE OF BIRTH : 21/05/2002
    GENDER : MALE
    DOMICILE : U.P
    CAST CATEGORY : SC
    RELIGION : HINDUISM
    Cast Certificate Number : 271184011038
    FATHER'S NAME : CHANDRASHEKHER RAWAT
    MOTHER'S NAME : PUSHPA RAWAT

    ADDRESS & CONTACT


    STUDENT'S MOBILE NO. : 8303443941
    ALTERNATE MOBILE NO. : 7752919939
    STUDENT'S EMAIL ID : [email protected]

    LOCAL ADDRESS PERMANENT ADDRESS

    ADDRESS : SAHIMABAD MAJRA HAMAIRAPUR ADDRESS : SAHIMABAD MAJRA HAMAIRAPUR


    MALIHABAD LUCKNOW MALIHABAD LUCKNOW
    COUNTRY : INDIA COUNTRY : INDIA
    STATE : UTTAR PRADESH STATE : UTTAR PRADESH
    PINCODE : 226102 PINCODE : 226102

    OTHER DETAILS
    ARE YOU PHYSICALLY HANDICAPPED? : No

    ACADEMIC QUALIFICATION

    HIGH SCHOOL

    NAME OF THE SCHOOL/COLLEGE : MAHABALI MEMORIAL I C HASNAPUR PULIYA MALIHABAD LUCKNOW


    BOARD : UP ROLL NO. : 1302278 PASSING YEAR : 2018
    MAXIMUM MARK : 600 OBTAINED MARKS : 410 PERCENTAGE : 68
    CENTRE CODE : 13422 SCHOOL CODE : 1763

    Printed As On : 10/09/2020 This is a software generated report Page 1 of 2


    COLLEGE OF NURSING, GSVM MEDICAL COLLEGE
    Kanpur, Uttar Pradesh
    Entrance Form Details : 2020-21

    COURSE : B. SC. PART I NURSING PROGRAMME (4 YEARS) REGISTRATION NO. 10220235035

    INTERMEDIATE

    NAME OF THE SCHOOL/COLLEGE : MAHABALI MEMORIAL I C HASNAPUR PULIYA MALIHABAD LUCKNOW


    BOARD : UP ROLL NO. : 0962227 PASSING YEAR : 2020
    MAXIMUM MARK : 500 OBTAINED MARKS : 279 TOTAL PERCENTAGE : 55.80
    CENTRE CODE : 03391 SCHOOL CODE : 1763 PCBE PERCENTAGE : 55.5

    S.NO. SUBJECT MAXIMUM MARKS OBTAINED MARKS


    1 PHYSICS 100 52
    2 CHEMISTRY 100 52
    3 BIOLOGY 100 79
    4 ENGLISH 100 39
    5 HINDI 100 57

    PAYMENT DETAILS
    BANK REFERENCE NUMBER : GSVM19010617 BANK TRANSACTION NUMBER : GSVM000000000280345
    PAID AMOUNT (INR) : 800.00 BANK TRANSACTION DATE : 10/09/2020

    DECLARATION: ALL THE INFORMATION ENTERED BY ME IN THE APPLICATION FORM ARE TRUE TO THE BEST OF MY
    KNOWLEDGE. IF AT ANY STAGE OF THE ADMISSION PROCESS ANY INFORMATION IS FOUND TO BE WRONG I WILL BE
    FULLY RESPONSIBLE FOR THIS AND MY APPLICATION OR CANDIDATURE MAY BE REJECTED.

    LOCATION :

    SIGNATURE RIGHT HAND THUMB IMPRESSION

    REGISTRATION DATE : 10/09/2020 SUBMISSION DATE : 10/09/2020

    Printed As On : 10/09/2020 This is a software generated report Page 2 of 2

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