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Wednesday, 01 September 2010 05:30

Download Application for Recording Additional Qualification in the Register (Mahakoshal Nurses Registration Council)

Download forms for state: Madhya Pradesh
Form Details
StateMadhya Pradesh
DepartmentMedical Education
TitleApplication for Recording Additional Qualification in the Register (Mahakoshal Nurses Registration Council)
LanguageEnglish
Document Size17.9 KB
Text of the PDF document(for quick reference)
MAHAKOSHAL NURSES REGISTRATION COUNCIL APPLICATION FORM FOR RECORDING ADDITIONAL Prepaid QUALIFICATION IN THE REGISTER Rs. 25/- Vide PASPORT R. No. ....... Dated ....... SIZE PHOTO I, -------------------------------------------------------------------------------- (Name in full and Block Letters) of (Permanent address in Full)----------------------------------------------------------------------------­ hereby apply to* record my following qualifications (original and copy of which is enclosed) in Register:- I was trained at----------------------------------------------------------------------------------------------- Passed the----------------------------------------------------------------------------------------------------- Examination held by -------------------------------------------------------------------------------------in the year-----------------------------. I am registered in Mahakoshal Nurses Registration Council(If from other council, name of the council) --------------------------------------------------------------------------------------------------as a Nurse/ Midwife/G.N.M.(New course) under No.------------------------------------------------------. Present address:--------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------. Requirements: 1. Fees :- Rs. 100/- by Bank Demand Draft in favour of Registrar Mahakoshal Nurses Registration Council. 2. Original Certificate, Latest Photograph- 2 Passport Size. 3. Attested 2 Photocopies of all original certificates. Date:- ------------------------------------------------- (Signature of the applicant) Signature & Seal of Head of Training Centre. To, The Registrar, Mahakoshal Nurses Registration Council M-78, Block No. 9 Harshwardhan Nagar Bhopal,(M.P.)
Last Updated on Friday, 17 December 2010 05:30
 

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