E-signed Declaration Health Care Professional

Personal Details:
Name: Asha Sinha
HPR-ID: 32-1072-6463-8557
Professional Type: Nurse
Sub Category: Registered Auxiliary Nurse Midwife (RANM)
Mobile No: 9973703816
Email-Id: ashasinha11334@gmail.com
Salutation: Ms.
First Name: Asha
Middle Name:
Last Name: Sinha
Nationality: India
Languages Spoken: Hindi ,

Communication Address:
Name: Asha Sinha
Address: C/O W/O: Laxman Prasad Sinha vill post Dhanama Aliganj
Country: India
State: BIHAR
District: JAMUI
City/Town/Village:
Postal code: 811301
Have you shared your Phone no for public: No
Have you shared your Email-Id for public: No

Registration Details:
Registered with Council: Jharkhand Nurses Registration Council, Ranchi
Registered Number: 2763
Registration Date (if Available):
Registration: Renewable
Due Date Of Renewal:
Qualification Details:
Name of Degree or Diploma: ANM
Country Name: India
State Name: BIHAR
College Name: anm training school jharkhand
University Name: Bihar

Speciality Details:

Work Details:
Currently Working: Yes
Nature of Work: Practice
Working With: Government only

Facility Details:
Facility ID Facility Name Address State District Type Departm Designat Status
Status ent ion
IN10100004 Approve PHC Thana More BIHAR NAWAD Primary HEALTH ANM Declared
14 d WARSALIGA phc A Health
NJ warsaliganj Centre

Declaration
I hereby declare that I am voluntarily sharing above mentioned particulars and information. I certify that the above
information furnished by me is true, complete, and correct to the best of my knowledge. I understand that in the event
of my information being found false or incorrect at any stage.

Name: Asha Sinha

Healthcare Professional ID Number: 32-1072-6463-8557
Digital Signature:
Digitally signed by
Date: 2023.07.31 21:42:34 IST
Reason: HPR Registration
Location: NHA