Bihar Nurses Registration Council, Patna
Application Form
Application Details
Application ID : REG/00003752 Application Date : 06-Dec-2024 Applied For : REGISTRATION
Course : B.Sc. (Nursing)
Personal Details
Applicant Name PRATIBHA KUMARI
Father's Name LATE SUKO DEVI
Mother's Name LATE SUKO DEVI
Date of Birth 27-Jan-2003
Age as on (01.08.2023) 20 Years 11 Months
Gender Female
State of Domicile Bihar
Home District ROHTAS
Category ST
Email ID
Mobile No.
Nationality Indian
Address for Correspondence
Address Village - Naykadih, Past-Rehal,Ps- Nauhatta, City- Rehal, District -Rohtas, (Bihar)
Pin Code 821304
Permanent Address
Address Village - Naykadih, Past-Rehal,Ps- Nauhatta, City- Rehal, District -Rohtas, (Bihar)
Pin Code 821304
Educational Qualification
Name of Board/University Institute/ School/ College Name Year of Roll No % of
Examination Passing Marks
I.Matric / 10th CENTRAL BOARD OF SECONDARY ABR FOUNDATION SCHOOL, 2018 7203634 52.6
EDUCATION SASARAM
II. Inter / 12th BIHAR SCHOOL EXAMINATION AWADHOOT BHAGWAN RAM 2020 20010051 64.8
BOARD, PATNA COLLEGE, SASARAM
Institution Details
Council Name: Bihar Nurses Registration Council, Patna
Training Institute Name : Narayan nursing college, under Gopal Narayan Singh University, Jamuhar , Sasaram
Admission Date : 05-Oct-2020
Academic Session : 2020-2024
Year and Month of Passing Examination
1st Year : OCT-2021 Under Roll No - 20BSN086
2nd Year : NOV-2022 Under Roll No - 20BSN086
3rd Year : NOV-2023 Under Roll No - 20BSN086
4th Year : OCT-2024 Under Roll No - 20BSN086
Internship from : 01-Mar-2024
Registration No Council :
Registration Date : 06-Dec-2024
Issued by :
Name of Examinee body : Gopal Narayan Singh University
INSTRUCTION
1: Enclosed Photo copy of Matriculation Certificate / 10+2 Certificate / Mark Sheet of Nursing Examination 1st Year, 2nd Year, 3rd Year, 4th Year /
Registration Certificate / Diploma Certificate / Degree Certificate Suitability Copy of training institute Given by INC for the admission academic
year and Admit card of all Exam duly self attested.
2: Registration Certificate will be issued after obtaining NOC from Parent Council Only.
Application of Mr/Miss/Mrs PRATIBHA KUMARI Ex student of this Institution is forwarded the Registrar,Bihar Nurses Registration
Council,Patna For needful. He/She is completed the course as per syllabus and Regulation laid down by INC. Nursing school is recognized by by
I.N.C at the time of commencement and completion of training from 2020 to 2024 in pursuance of the provisions of sub-section (2) of section 13
of the I.N.C Act 1947,as well as state Nursing Council is enclosed herewith. Mr/Miss/Mrs. PRATIBHA KUMARI is registered as B.Sc.
(Nursing) under Bihar Nurses Registration Council, Patna council vide Registration No. Dated : 06-Dec-2024 valid upto 27-Jan-2003
I solemnly affirm that the facts stated above are true and correct in case any information given by me is found to be incorrect, my candidature
will be cancelled and legal proceedings may be initiated against me.
Date:- 06-Dec-2024
Signature of Applicant
Signature of Sister Tutor I/C Signature of Superintendent/
Principal school of Nursing Med.Supdt
(SEAL) (SEAL)
