NUID NO.

: CG1247623
REGN. NO. : XXXIII-14684

NURSE & MIDWIFE REGISTER

PASSBOOK

INDIAN NURSING COUNCIL

8th Floor, NBCC Centre, Plot No. 2, Community Centre
Okhla Phase-1, New Delhi-110020
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 NURSE REGISTER PASSBOOK

NUID No.:CG1247623 REG NO.: XXXIII-14684

Applicant Name : AKASH DAN

Change of Name(if any) : No
Gender : MALE
Marital Status : Single
Father's Name : MANISH DAN
Spouse's Name :
Nationality : INDIA
Date of Birth : 1994-02-12
Address : Ward No-33, Tikra Para Dhamtari, Ward No-33
Tikra Para Dhamtari, Dhamtari, null, Dhamtari,
Dhamtari, Chhattisgarh,Pincode- 493773.
Reciprocal Registration Done : No
Registered As : RNRM
Registration No : XXXIII-14684
Date of Registration : 20-06-2022

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 Parent State Nurses Registration : Chhattisgarh Nurses Registration Council, Raipur
Council
Nursing Educational Qualification
Name of the programme : General Nurse and Midwife
Name of the Institute : DHAMTARI CHARISTIAN HOSPITAL, DHAMTARI
Period of Education : 01-10-2018 to 30-11-2021
Name of University/Board : MID INDIA BOARD OF EDUCATION
Additional Qualifications (if any) :
Name of the Institute :
Name of University/Board :
Year of passing :
Designation :
Place of work :

Signature :