पंडित दीनदयाल उपाध्याय स्मृति स्वास्थ्य विज्ञान एवं आयुष विश्वविद्यालय छत्तीसगढ
( पूर्व नाम छत्तीसगढ आयुष एवं स्वास्थ्य विज्ञान विश्वविद्यालय )
EXAMINATION FORM
Exam Details
[Link]. NURSING FOURTH-SEM
Name of Examination Application No. EXAM-0094858
APRIL-MAY 2024
Enrollment Details
College Name WE CARE NURSING COLLEGE, SARGUJA
Year of Admission 2021 Course Name [Link]. NURSING(SEMESTER 4)
Batch 2021-2025 Exam Status REGULAR
Enrollment No M-7/04305 Roll No 22514303
Personal Details
Name of Candidate ANJALI BHAGAT Date of Birth 28/Jul/2003
Father's Name BANDHANU RAM BHAGAT Mother's Name UMA BHAGAT
Present Address SANNA District JASHPUR Pin Code 496331
Permanent Address SANNA District JASHPUR Pin Code 496331
Mobile Number 9302803485 Email Id wecarenursingcollege@[Link]
Gender FEMALE Caste/Category ST
Nationality Indian Adhaar No
Subjects (1)Pharmacology & Pathology( I & II) & Genetics(2)Adult Health Nursing - II
Document Uploaded
Requirement Uploaded
Document Name
Type Status
10th Marksheet Required Uploaded
12th Marksheet Required Uploaded
Caste Certificate Required Uploaded
ID Proof (pan card/driving license/ Voter ID/ Passport / other) Required Uploaded
Enrolment Slip/Acknowledgement (If you are not having then kindly write a
Required Uploaded
declaration in plain paper and scan- upload it)
Declaration
मेरे द्वारा ऊपर भरा गया विवरण सही है | कोई बात असत्य पाई गयी तो उसकी पूर्ण जिम्मेदारी मेरी होगी और धोखाधड़ी करने के दंडनीय अपराध की सजा मै
स्वीकार करूँ गा / करुँ गी | मैं पंडित दीनदयाल उपाध्याय स्मृति स्वास्थ्य विज्ञान एवं आयुष विश्वविद्यालय छत्तीसगढ़ के द्वारा ली जाने वाली परीक्षा में आवेदन करता/
करती हूँ |
Date Signature of Candidate
Forwarding
I certify that ANJALI BHAGAT Father BANDHANU RAM BHAGAT is REGULAR Candidateof the college and he/she is
eligible to appear in [Link]. NURSING FOURTH-SEM APRIL-MAY [Link] the Certificates and terminals have been
checked by me and I certify that the information given by the candidate is true.
Date Signature & Seal of Principal
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