Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 53 views

    Pro Form A 202202455

    Uploaded by

    Naseema seyyad S
    1. This document is a student registration proforma for Naseema S, who was admitted in 2022 to pursue an M.Sc. in Medical Surgical Nursing with a specialization in Critical Care Nursing at the Govt. College of Nursing in Thiruvananthapuram. 2. Key details provided include Naseema's personal information like date of birth and address, details of her qualifying BSc Nursing degree and entrance examination rank, and confirmation from her college principal that her registration details are correct. 3. The proforma collects additional information like council registration certificates and other requirements suggested by the governing council to complete Naseema's student registration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Pro Form A 202202455

    Uploaded by

    Naseema seyyad S
    53 views2 pages
    1. This document is a student registration proforma for Naseema S, who was admitted in 2022 to pursue an M.Sc. in Medical Surgical Nursing with a specialization in Critical Care Nursing at the Govt. College of Nursing in Thiruvananthapuram. 2. Key details provided include Naseema's personal information like date of birth and address, details of her qualifying BSc Nursing degree and entrance examination rank, and confirmation from her college principal that her registration details are correct. 3. The proforma collects additional information like council registration certificates and other requirements suggested by the governing council to complete Naseema's student registration.

    Original Title

    Pro Form a 202202455

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1. This document is a student registration proforma for Naseema S, who was admitted in 2022 to pursue an M.Sc. in Medical Surgical Nursing with a specialization in Critical Care Nursing at the Govt. College of Nursing in Thiruvananthapuram. 2. Key details provided include Naseema's personal information like date of birth and address, details of her qualifying BSc Nursing degree and entrance examination rank, and confirmation from her college principal that her registration details are correct. 3. The proforma collects additional information like council registration certificates and other requirements suggested by the governing council to complete Naseema's student registration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views2 pages

    Pro Form A 202202455

    Uploaded by

    Naseema seyyad S
    1. This document is a student registration proforma for Naseema S, who was admitted in 2022 to pursue an M.Sc. in Medical Surgical Nursing with a specialization in Critical Care Nursing at the Govt. College of Nursing in Thiruvananthapuram. 2. Key details provided include Naseema's personal information like date of birth and address, details of her qualifying BSc Nursing degree and entrance examination rank, and confirmation from her college principal that her registration details are correct. 3. The proforma collects additional information like council registration certificates and other requirements suggested by the governing council to complete Naseema's student registration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Student Registration Proforma

    Kerala University of Health Sciences


    Thrissur-680 596

    Proforma-Student Registration (Report Generated On: 2023-01-26)


    1. Year of Admission : 2022
    2. Course Level : PG ParaMedical
    3. Course : M.Sc. Medical Surgical Nursing
    4. Sub Speciality (if any) : Critical Care Nursing
    5. Name of College : Govt.College of Nursing, Thiruvananthapuram
    6. Name of Candidate : NASEEMA.S
    7. Name of Candidate
    with initials expanded : NASEEMA S
    8. Temporary Student ID : 202202455

    9. Entrance Examination Details


    Name of Examination Authority Reg.No. Rank No Year Admission Quota
    PG NURSING Entrance Examination CEE 810131 191 2022 Other

    10. Personal Details


    Sex FEMALE Address for Communication
    Date of Birth 1995-04-27
    Age 27
    Adhar No 489766448687
    Blood Group O+ ALAMEEN MANZIL KONATHU VEEDU,PUTHUKURICHY
    Name of Parent/Guardian SEYYAD PO
    Relation FATHER
    Mobile No 9995942390 District Trivandrum
    Email ID naseemaseyyad95@gmail.co State Kerala
    m
    Category OBC Country India
    Religion ISLAM Pin Code 695303
    Caste MUSLIM Mother Tongue MALAYALAM
    Nativity Keralite Nationality Indian

    11. Details of Qualifying Examination


    Name of Qualifying Examination Reg.No Year Percentage Percentage of Marks Division/ Board/University
    of Marks (In Case of UG Grade
    Courses)

    PCB Biology Maths


    BSc Nursing 14006130 2018 65.00 61.67 66.50 40.50 -
    6

    12. Details of Intership, if any

    http://kuhs.ac.in/ Page 1/2


    Student Registration Proforma

    Period From Period To Name & Address of Institution

    13. Other Details, if any


    Migration Certificate,if any
    Equivalence Certificate,if any
    Council Registration Certificate,if any KL03201900844
    School where educated
    SSLC Reg No, Date and authority issuing it no 115416 march 2011 GOVERNMENT OF KERALA
    University exam permitted to appear
    Research degree which student is a
    candidate for
    Other requirements, if any , suggested by
    governing council

    14. Any Other Relevant Details, if any

    DECLARATION

    I..............NASEEMA.S............... hereby agree that the forgoing information is correct and complete to the best
    of my knowledge and belief, nothing has been concealed/distorted. If I am found to have concealed/distorted, any
    material information,the University shall be able to take action against me and summarily cancel my registration and
    admission,and also agree to abide by the Rules and Regulations of the University.

    Place : Signature
    Date : Name of Student

    Verified with actual records and found correct

    Place :
    Date : College Seal Name & Signature of Principal

    FOR OFFICE USE ONLY

    Registration Sanctioned/Cancelled & Reason

    Name & Signature of Official

    Please Note:

    Category Codes & Description


    Gen-General , EZ-Ezhava , MU-Muslim , BH-Backward Hindu , LC-Latin Catholic(Other than Anglo Indian) , BX-BackwardChristian , KU-Kudumbi ,
    SC-Scheduled Caste , ST-Scheduled Tribe , OE-Other Eligible Cimmunity , AI-Anglo Indian
    Nativity Codes & Description
    OCI-Overseas Citizen of India, PIO-Person of India Origin, AIS-All India Service

    http://kuhs.ac.in/ Page 2/2

    You might also like