Sample for nuid for nursing

1. NURSE & MIDWIFE REGISTER
PASSBOOK
INDIAN NURSING COUNCIL
8th Floor, NBCC Centre, Plot No. 2, Community Centre
Okhla Phase-1, New Delhi-110020
NUID NO. : UP981379
REGN. NO. : 12194
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2. NURSE REGISTER PASSBOOK
NUID No.:UP981379 REG NO.: 12194
Applicant Name : SHUBHAM VERMA
Change of Name(if any) : No
Gender : MALE
Marital Status : Single
Father's Name : SRAVESH KUMAR
Spouse's Name :
Nationality : INDIA
Date of Birth : 1996-07-25
Address : 544/1112 Ekta Nagar, Balaganj , Lucknow, null,
Lucknow, Lucknow, Uttar Pradesh,Pincode-
226003.
Reciprocal Registration Done : No
Registered As : RNRM
Registration No : 12194
Date of Registration : 02-09-2019
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3. Nursing Educational Qualification
Parent State Nurses Registration
Council
: Uttar Pradesh Nurses and Midwives Council,
Lucknow
Name of the programme : B.Sc (Nursing)
Name of the Institute : CAREER COLLEGE OF NURSING, LUCKNOW
Period of Education : 01-06-2015 to 28-02-2019
Name of University/Board : DR. R.M.L. AVADH UNIVERSITY, FAIZABAD, U.P.
Additional Qualifications (if any) :
Name of the Institute :
Name of University/Board :
Year of passing :
Designation : Staff Nurse
Place of work : INLAKS GENERAL HOSPITAL
Signature :
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