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D.Y. PATIL SCHOOL OF NURSING
Tanoj patidar | First year M.Sc. Nursing | April 15, 2019
CUMULATIVE RECORD
FIRST YEAR M.SC NURSING
PAGE 1
CUMULATIVE RECORD
1. IDENTIFICATION DATA
Student Name…………………Date of Birth……………….
Age/Sex……………………………Nationality………............
Religion……………………………Category…………………….
Blood Group…………………………………………………………
Unique ID/AadhaarNo……………………………………….
Name of the Course……………………………………………...
Date of Commencement of Course………………………………………….
Date of Completion of Course………………………………………………….
Complete Postal Address………………………………………………………….
Pin Code…………………. Mobile No…………………. Email Id………
2. FAMILY RECORD:
Type of family………………………….
Fathers Name…………………………Age………………………………………….
Education……………………………Occupation…………………………………
Mothers Name………………………. Age…………………………………………
Education……………………………Occupation……………………………….
Family Income………………………………………………………………………….
2.ACADEMIC RECORD:
Name of class/course Starting Date Leaving Date Grade/Result
S.S.C
H.S.C
Basic B.sc Nursing
M.sc Nursing
4. ATTENDANCE:
Year/Month Possible Actual Nature of Long Absence, if any
PAGE 2
5. CO-CURRICULAR ACTIVITIES:
Activities Sports Personal Hygiene Literary Activities Cultural Activities
First/second Year
6. PHYSICAL/HEALTH DATA:
Year Height Weight Chest BMI General condition
7. IMMUNIZATION RECORD:
Type of Vaccine First Dose second Dose Third Dose
8.EDUCATIONAL PLANS:
Year Educational plans Counsellor’s Report
9. VOCATIONAL PLANS:
Year Vocational Ambition Counsellor’s Report
10.INTERESTS AND TALENTS:
Interests Talents
11.ACHIEVEMENTS AND AWARDS:
School Basic B.sc Nursing M.sc Nursing
12.RECORDS OF COUNSELLING:
Year Observation Counsellor’s Name
PRINCIPAL CLASS COORDINATOR
PAGE 3

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Cumulative record for students

  • 1. D.Y. PATIL SCHOOL OF NURSING Tanoj patidar | First year M.Sc. Nursing | April 15, 2019 CUMULATIVE RECORD FIRST YEAR M.SC NURSING
  • 2. PAGE 1 CUMULATIVE RECORD 1. IDENTIFICATION DATA Student Name…………………Date of Birth………………. Age/Sex……………………………Nationality………............ Religion……………………………Category……………………. Blood Group………………………………………………………… Unique ID/AadhaarNo………………………………………. Name of the Course……………………………………………... Date of Commencement of Course…………………………………………. Date of Completion of Course…………………………………………………. Complete Postal Address…………………………………………………………. Pin Code…………………. Mobile No…………………. Email Id……… 2. FAMILY RECORD: Type of family…………………………. Fathers Name…………………………Age…………………………………………. Education……………………………Occupation………………………………… Mothers Name………………………. Age………………………………………… Education……………………………Occupation………………………………. Family Income…………………………………………………………………………. 2.ACADEMIC RECORD: Name of class/course Starting Date Leaving Date Grade/Result S.S.C H.S.C Basic B.sc Nursing M.sc Nursing 4. ATTENDANCE: Year/Month Possible Actual Nature of Long Absence, if any
  • 3. PAGE 2 5. CO-CURRICULAR ACTIVITIES: Activities Sports Personal Hygiene Literary Activities Cultural Activities First/second Year 6. PHYSICAL/HEALTH DATA: Year Height Weight Chest BMI General condition 7. IMMUNIZATION RECORD: Type of Vaccine First Dose second Dose Third Dose 8.EDUCATIONAL PLANS: Year Educational plans Counsellor’s Report 9. VOCATIONAL PLANS: Year Vocational Ambition Counsellor’s Report 10.INTERESTS AND TALENTS: Interests Talents 11.ACHIEVEMENTS AND AWARDS: School Basic B.sc Nursing M.sc Nursing 12.RECORDS OF COUNSELLING: Year Observation Counsellor’s Name PRINCIPAL CLASS COORDINATOR