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RLM Form MSC

The document is an application for the M.Sc. Nursing (Child Health & Paediatrics) program submitted by Shubham Verma, including personal details such as date of birth, gender, and family information. It contains a declaration confirming the accuracy of the provided information and outlines the consequences of providing false information. Additionally, it includes a disclaimer stating that registration does not guarantee admission and that a Unique Identification Number is required for enrollment in the specified courses.

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shubham verma
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52 views1 page

RLM Form MSC

The document is an application for the M.Sc. Nursing (Child Health & Paediatrics) program submitted by Shubham Verma, including personal details such as date of birth, gender, and family information. It contains a declaration confirming the accuracy of the provided information and outlines the consequences of providing false information. Additionally, it includes a disclaimer stating that registration does not guarantee admission and that a Unique Identification Number is required for enrollment in the specified courses.

Uploaded by

shubham verma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UNIQUE IDENTIFICATION NUMBER 2020262513 TRANSACTION ID 14066839296

COURSE APPLIED FOR M.SC. NURSING (CHILD HEALTH & PAEDIOTRICS) IST YEAR

APPLICANT'S NAME Shubham Verma GENDER: Male

FATHER'S NAME Sarvesh Kumar MOTHER'S NAME Rekha Verma

DATE OF BIRTH 25/07/1996 CATEGORY : OBC SUB CATEGORY: NOT APPLICABLE RELIGION : Hinduism

MOBILE 9451387023

DECLARATION

I Shubham Verma hereby declare that all statements made in this application are true and correct to the best of my
knowledge and belief. In case if any information is being found false or incorrect or any irregularity is being detected any
stage, my candidature is liable to be cancelled and action may be initiated against me. I understand that, if my application
is found incomplete in any manner, the same will be rejected.

Signature of Candidate

Printrd on:05-10-2021

Disclaimer

1- This registration Doesn't Guarantee Admission


2- Colleges will not Take admission in (UG / PG-Part One Courses) in the year 2020 without Unique Identification Number,
being alloted.

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