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Nursing Registration Update Form

The document contains the enrollment details and personal information of Ashwini Govind Rathod, including registration and qualification details for nursing. It outlines the applicant's educational background, current employment as a nursing tutor, and intent to work abroad in Switzerland. Additionally, it includes sections for required uploads and authentication related to the application process.

Uploaded by

Aisha Rathod
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© © All Rights Reserved
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208 views3 pages

Nursing Registration Update Form

The document contains the enrollment details and personal information of Ashwini Govind Rathod, including registration and qualification details for nursing. It outlines the applicant's educational background, current employment as a nursing tutor, and intent to work abroad in Switzerland. Additionally, it includes sections for required uploads and authentication related to the application process.

Uploaded by

Aisha Rathod
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Date:


Mon 2025.02.03 - [Link] PM
USER NAME:
Ashwini Govind Rathod

Home
Additional Qualification
Authenticate
Download NUID card
NOC
Reciprocal
Renewals
Submit Nurse Details
Update

Sections In Red Color Are Required To Be Filled To Submit/Forward The Application For Approval
Applicant Name : Ashwini Govind Rathod Applicant Number : 1380868 DOB : 01-06-1995

Enrollment Details For Updation & Verification

Registration Details 

Applicant Name
Ashwini Govind Rathod
Date of Birth
01-06-1995
Aadhaar No
XXXXXXXX7022
Registration Number
II32565
Registered As
RN
Midwife Registration No
XVI29353
State Nursing Registration Council
Maharashtra Nursing Council, Mumbai

Personal Details 

Father Name
Gender
Marital Status
Spouse
Change of Name
Social Status
Religion
Nationality
Domicile(State)
Contact Details

Address Line-1
Address Line-2
Address Line-3
Locality
State
District
Block/ Mandal/ Taluk
Village
Zip/Pin Code
Same Address
Mobile Number
Landline Number
Email
Alternative mobile Number
Alternative Email id
Gazette Notification

Basic Qualification Details 

10th class Details

Name of the Board


maharashtra state board of secondary education
Year of Passing
2011

12th class Details

University/ Board
MAHARASHTRA STATE BOARD of Secondary and Higher Secondary Education, Pune
Year of Passing
2013

[Link] Details

Name of the Institute


Marathwada Medical and Research Institute, Kamalnayan Bajaj College of Nursing,
Type of the Institute
Private
Name of the University/Board
Maharahtra University of Health Sciences
Date of Passing
10-11-2020

Additional Qualification Details 

Service Details 

Parent Council State


MAHARASHTRA
Registered as
RN
Designation
nursing tutor
Gross Emolument(In Rs)
27000
EPF Number
Whether Current Employment belongs to
india
Country
Institute Address
Name of Institute
Rajkali Institute of Nursing and Paramedical Sciences Lehenga Chhatoh Raebareli
Sector
Private
Institute Category
TEACHING
Institute State
UTTAR PRADESH
Institute District
RAEBARELI
Institute Block
CHATO
Institute Village
nasirbad kolwa
Pincode
229307
Would you like to work Abroad?
Yes
Willing Country
SWITZERLAND

Certificate Uploads 

Proof of DOB

Additional Registration Certificate

Signature

Registration Certificate

Photo Capture 

Photo Capture

Aadhaar Authentication 

Aadhaar Authentication Status:Not Authenticated

Aadhaar authentication by self(Through OTP)


Aadhaar authentication at SNRC(Biometric)

I hereby declare that the information given above is correct to the best of my knowledge.

Submit

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