Application Number 241810003121

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Candidate is requested to retain the printout of Confirmation page for future Reference.

Personal Detail
Candidate's Name (As per matriculation Have you ever changed your
VISHALI KASHYAP NO
certificate) name (after matriculation)
New Name of the Applicant (As per
Central/State Gazette Notification/any other NA Date of Birth 17-03-2000
authority)
Gender FEMALE Father's Name ANIL KUMAR
Mother's Name POOJA Marital Status UNMARRIED
Nationality (Self) INDIAN Nationality (Spouse) NA
Email Address VAISHALIK013@GMAIL.COM Mobile Number 8219810691
WHICH HIGH SCHOOL
Alternate Conatct No 9418108215 Security Question
DID YOU ATTEND?
Security Answer KALAAMB Aadhar No 6379
Two visible identification
One visible identification mark MOLE ON RIGHT UPPER LIP MOLE ON NECK
mark

Communication Details

Correspondence Address

NEAR ANIL WATER

Premises No./Name HOUSE NO 55 VPO KALA AMB Sub-Locality
TANKER
Locality KALA AMB Country INDIA
State HIMACHAL PRADESH City SIRMAUR
Pincode 173030

Permanent Address

NEAR ANIL WATER

Premises No./Name HOUSE NO 55 VPO KALA AMB Sub-Locality
TANKER
Locality KALA AMB Country INDIA
State HIMACHAL PRADESH City SIRMAUR
Pincode 173030

Graduation Education Details

Qualification Details NA Name of the College NA
University Full Name NA Year of Passing NA
Whether the college is
Percentage of Marks Obtained NA NO
recognized by INC

Additional Education Details

Additional Details (If Any) NO

Experience Details
Nursing Registration
Valid Nursing Registration (Current with
YES
validity dates) ?
SRN 31239 Date(SRN) 28-04-2023
Name of the State Nursing Council(SRN) HIMACHAL PRADESH SRM 31439
Name of the State Nursing
Date(SRM) 28-04-2023 HIMACHAL PRADESH
Council(SRM)
NCC Training
Details of NCC training ? NO
Service Experience
Service Experience NO
Employment Details
Have you ever been employed ? NO
Have you previously served in MNS NO

Document Details

1 PHOTO

2 SIGNATURE

Address Proof (Present and

3 View
Permanent)

Exam Center Details

1st Choice For Exam State HARYANA 1st Choice For Exam State AMBALA
2st Choice For Exam State PUNJAB 2st Choice For Exam State MOHALI
3st Choice For Exam State HARYANA 3st Choice For Exam State KURUKSHETRA