Bihar Nurses Registration Council, Patna
Application Form
Application Details
Application ID : TRS/00015350 Application Date : 09-Jun-2025 Applied For : TRANSFER REGISTRATION
Course : GNM
Personal Details
Applicant Name SUJEET KUMAR
Father's Name RAJENDRA PRASAD
Mother's Name SARITA SINHA
Date of Birth 15-Jun-2001
Age as on (01.08.2023) 22 Years 6 Months
Gender Male
State of Domicile Bihar
Home District NALANDA
Category BC
Email ID sk9631474951@gmail.com
Mobile No. 8789522063
Nationality Indian
Address for Correspondence
Address VII+POST- DHARHARA , P.S.- SILAO , DIST- NALANDA , BIHAR
Pin Code 803111
Permanent Address
Address VII+POST- DHARHARA , P.S.- SILAO , DIST- NALANDA , BIHAR
Pin Code 803111
Educational Qualification
Name of Board/University Institute/ School/ College Year of Roll No % of
Examination Name Passing Marks
I.Matric / 10th BIHAR SCHOOL EXAMINATION KISAN HIGH SCHOOL 2016 1600199 59.8
BOARD DHARHARA
II. Inter / 12th BSEB, PATNA KISAN+2 HIGH SCHOOL 2018 18010065 51.6
DHARHARA
Institution Details
Council Name: Madhya Pradesh Nurses Registration Council, Bhopal,M.P
Training Institute Name : R.K.D.F. SCHOOL OF NURSING (Bhopal) - [07108] NH-12 HOSHANGABAD ROAD
MISROD BHOPAL, 462026
Admission Date : 30-Jan-2020
Academic Session : 2019-2022
Year and Month of Passing Examination
1st Year : FEB-2021 Under Roll No - G15J2152210003
2nd Year : OCT-2021 Under Roll No - G25J2252210052
3rd Year : FEB-2023 Under Roll No - G35J2250110020
4th Year : FEB-2023 Under Roll No - G35J2250110020
Internship from : 24-Jul-2024
Registration No Council : V-101791
Registration Date : 29-Aug-2024
Issued by : MPNRC M.P BHOPAL
Name of Examinee body : MADHYA PRADESH NURSES REGISTRATION COUNCIL BHOPAL (M.P)
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 SUJEET KUMAR 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 2019 to 2022 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. SUJEET KUMAR is registered as GNM under Madhya Pradesh Nurses Registration Council,
Bhopal,M.P council vide Registration No. V-101791 Dated : 29-Aug-2024 valid upto 28-Aug-2029
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:- 09-Jun-2025
Signature of Applicant
Signature of Sister Tutor I/C Signature of Superintendent/
Principal school of Nursing Med.Supdt
(SEAL) (SEAL)
