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nic
Enrollment Details For Updation & Verification
New Registration Details :
APPLICANT SHAILA 31-01-
DATE OF BIRTH: AADHAR NO: XXXXXXX6765 REGISTRATION NUMBER: 1669
NAME: PANCHAL 1987
REGISTERED MIDWIFE PARENT STATE NURSING REGISTRATION UTTARAKHAND NURSES AND MIDWIVES
RNRM 1669
AS : REGISTRATION NO: COUNCIL: COUNCIL

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Personal Details :
FATHER NAME: SURENDRA PANCHAL GENDER: FEMALE MARITAL STATUS: SINGLE SPOUSE:
CHANGE OF NAME
NO SOCIAL STATUS: GENERAL RELIGION: HINDU NATIONALITY: INDIA
:
DOMICILE(STATE): UTTARAKHAND
225 GALI NO 4 AMBEDKAR
ADDRESS LINE-1 ADDRESS LINE-2 JWALAPUR ADDRESS LINE-3 HARIDWAR LOCALITY HARIDWAR
NAGAR
STATE UTTARAKHAND DISTRICT HARIDWAR BLOCK/MANDAL HARIDWAR VILLAGE
LANDLINE
ZIP/PIN CODE 249407 SAME ADDRESS YES MOBILE NUMBER 9105113251
NUMBER
GAZETTE NOTIFICATION-

ALTERNATE ALTERNATE
EMAIL SHAILA788@GMAIL.COM
MOBILE EMAIL

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Basic Qualification Details :

10th Class
NAME OF THE BOARD CBSE, UTTARAKHAND YEAR OF PASSING 2003

12th Class
UNIVERSITY/BOARD NIOS, UTTARAKHAND YEAR OF PASSING 2007

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B.Sc Details
25-
NAME OF SHRI GURU RAM RAI INSTITUTE OF TYPE OF NAME OF HEMWATI NANDAN BAHUGUNA GARHWAL DATE OF
PRIVATE 10-
INSTITUTE MEDICAL AND HEALTH SCIENCES INSTITUTE UNIVERSITY UNIVERSITY SRINAGAR UTTARAKHAND PASSING
2011

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Addl. Qualification Details :

M.Sc
NAME OF THE SUBHARTI NURSING COLLEGE, TYPE OF THE NAME OF SWAMI VIVEKANAND SUBHARTI
PRIVATE
INSTITUTE MEERUT INSTITUTE UNIVERSITY UNIVERSITY
M.SC CATEGORY COMMUNITY HEALTH NURSING
DATE OF PASSING 25-07-2015

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Service Details
PARENT COUNCIL STATE
EPF NUMBER
NAME OF INSTITUTE
INSTITUTION DISTRICT
REGISTERED AS DESIGNATION GROSS EMOLUMENT (IN RS.)
WHETHER CURRENT EMPLOYMENT BELONGS TO COUNTRY INSTITUTION ADDRESS
SECTOR INSTITUTION CATEGORY INSTITUTION STATE
INSTITUTION BLOCK INSTITUTION VILLAGE ZIP CODE

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PROOF OF DOB- SIGNATURE UPLOAD-

REGISTRATION CERTIFICATES-

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Photo Capture Details :

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Aadhaar Authentication :
AADHAAR AUTHENTICATION CAPTURE : SUCCESSFUL

Forward To Higher Authority :

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