3/19/24, 9:55 PM norcet6.aiimsexams.ac.

in/RegistrationSlip

All India Institute of Medical Sciences

Ansari Nagar, New Delhi - 110608
APPLICATION FORM - Nursing Officer Recruitment Common Eligibility Test (NORCET-6)

Candidate Profile Candidate ID: 6161600360 Registration No: 52082455 Registration Date: 17/03/2024

Candidate Name: KANCHAN JOSHI Date of Birth: 22 Aug 1999

Gender: Female Category: General

Father's Name: DEVENDRA JOSHI Mother's Name: KIRAN JOSHI

Persons with Benchmark Disability Status: No PWBD Category: NA

Nationality: INDIAN State of Domicile: UTTARAKHAND

Applied for :
Nursing Officer Recruitment Common Eligibility Test (NORCET-6)

Are you a Government Employee : No

Are you a Ex-Service men : No

Contact Details

Address for Permanent: Correspondence Address:

48, BLOCK-B, 31 B.N. P.A.C. WARD NO. 17, ADARSH COLONY, Rudarpur , M-51, DEV HOMES, PHASE 7, BIGBARA, Rudarpur , UTTARAKHAND,
UTTARAKHAND, India, 263153 India, 263153

Mobile No: 1. 9634708632 , 2. Alternate-MobileNo 8859696270 E-Mail ID: manishjoshi10jm@gmail.com

Qualification Details

Qualifying Exam University Name Collage Name Admission Passing

Date Date

B.Sc (Hons.) Nursing / B.Sc Nursing from an Indian HNB uttarakhand medical Naincy College of Nursing 20/07/2016 03/06/2020
Nursing Council recognized Institute or University education university, Dehradun Jeolikote, Nainital

Registration Number with Nursing Council of India/State Nursing Council

Registered as Registration No:(Nurse) Registration No.: (Midwife) State Name of Nursing Council: Issuing Date of Registration:

Nurse and Midwife 10918 10918 UTTARAKHAND 28/06/2021

Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card)

ID Proof: Adhar Card ID No: 347052325101 Place of Issue: INDIA Issue Date: NA Valid Till: NA

Payment Details

Mode: Online Date: 17/03/2024 Transaction ID: 16003601209 Amount: 3000

Do you have experience : No

Examination City Opted:

Exam City (Preference 3):
State: Exam City (Preference State : Exam City (Preference 2): State :
Delhi/ NCR (Delhi, Noida, Faridabad,
UTTARAKHAND 1): HALDWANI UTTARAKHAND DEHRADUN DELHI
Ghaziabad)

UNDERTAKING/DECLARATION: I hereby declare that the information furnished by me in the Registration/Application Form is correct and nothing has been
concealed. In case any information furnished by me is found to be false/incorrect/untrue than i shall be liable to civil/criminal prosecution and my claim to
admission/appointment/registration/ service in the Institute may be cancelled/terminated.

https://norcet6.aiimsexams.ac.in/RegistrationSlip 1/2
3/19/24, 9:55 PM norcet6.aiimsexams.ac.in/RegistrationSlip

Signature of Candidate
Thumb of Candidate

https://norcet6.aiimsexams.ac.in/RegistrationSlip 2/2