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    Https WWW - Bscnursing2022.com NurCon2022 FinalColSEl - PHP#

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    Https WWW - Bscnursing2022.com NurCon2022 FinalColSEl - PHP#

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    of 4

    27-Feb-2023 [13:26] Page : 1/2

    Office of the Chairman, Nursing Counseling Board 2022,


    Rajasthan University of Health Sciences, Jaipur

    Application Form
    Rajasthan Centralized Admissions to Nursing Courses 2022
    (RCA Nursing 2022)
    B.Sc Nursing
    Form No. : 2203078 Form Filled : 20-Feb-2023 13:34
    Token No. : 79255147 Fee, date : 1800/-, 2022-08-19
    District For Examination Centre
    Preference -1:JAIPUR
    ROLL NO. : 234554
    1. Course Fees
    B.SC. NURSING - 2022-23 Rs. 1800/-

    2. Name of Candidate: MANISH DALAL


    3. Father's Name: SATYAWAN
    4. Mother's Name: VIDHIYA DEVI
    5. Marital Status: --
    6. Husband's Name: --
    7. Gender: MALE
    8. Date of Birth: 15-Jun-2004

    9. Permanent Address 10. Correspondence Address


    WARD NO 10, VPO JHANSAL, JHANSAL, WARD NO 10, VPO JHANSAL, JHANSAL,
    HANUMANGARH, RAJASTHAN 335511 HANUMANGARH, RAJASTHAN 335511 manishdalal80945@gmail.com
    Phone No:

    Mobile No: 80XXXXXX70


    WhatsApp Mobile
    80XXXXXX70
    No.:
    11. Category: OBCNCL 12. STA: NO
    13. Person with Disability : NO

    14. Domicile : RAJASTHAN


    15. Qualifying Exam: SR. SEC. PASSED

    16. Subject : ENGLISH,CHEMISTRY,PHYSICS,BIOLOGY :

    17. Educational Qualification:


    Exam Board/University Year Max. Marks Marks Obt. Percentage Attempt
    BOARD OF SECONDARY EDUCATION, RAJASTHAN,
    Sec./Equivalent AJMER 2020 600 454 75.67 1

    SR. SEC./Equivalent BOARD OF SECONDARY EDUCATION, RAJASTHAN, 2022 500 355 71.00 1
    AJMER
    18. Information Regarding Conduct / Character Certificate:
    Name of Institute Last Attend BAL BHARATI SR SEC SCH CHHANIBARI
    Name and Address of First responsible
    officer RAMPRASAD VPO NINAN
    Name and Address of Second
    responsible officer OM PRAKASH VPO JHANSAL
    19. Whether you have ever been penalised, removed or blacklisted, if yes then mention the section under which penalised and also mention the penalty:
    NO

    I do hereby declare that all the information given by me in support of my application is true, complete and correct to the best of my knowledge, is binding on
    me and nothing has been hidden by me. I shall not claim any change or alteration. If any of them is found to be incorrect or false, my candidature will be liable
    to be rejected and I shall be liable to any penal action and / or punishment as may be deemed fit by the RUHS.

    I have gone through all the rules, information, instructions of the notification and I promise to abide by them.

    I fulfill the prescribed eligibility criteria relating to educational qualification etc. for B.Sc. Nursing 2022-23.
    Name of the Candidate Image of Signature Wet Signature
    MANISH DALAL
    27-Feb-2023 [13:26] Page : 2/2
    Office of the Chairman, Nursing Counseling Board 2022,
    Rajasthan University of Health Sciences, Jaipur
    Option Form
    Rajasthan Centralized Admissions to Nursing Courses 2022
    (RCA Nursing 2022)
    B.Sc Nursing
    Print Date : 27-Feb-2023 Option Form Filling Date : 20-Feb-2023
    A. General Details of Candidate xw1Az1Cwz
    1. Challan No. 809049 2. Form No. 2203078
    2. Roll No. 234554 4. Name MANISH DALAL
    5. Father's Name SATYAWAN 6. Mother's Name VIDHIYA DEVI

    B. Colleges Preference as filled by the Candidate


    Ch.No. College Ch.No. College
    1. GOVT. COLLEGE OF NURSING SMS HOSPITAL CAMPUS JAWAHAR 2. RUHS COLLEGE OF NURSING SCIENCES PRATAP NAGAR JAIPUR
    LAL NEHRU MARG JAIPUR (R527) (R536)
    3. GOVT. NURSING COLLEGE DR. S.N. MEDICAL COLLEGE AND 4. GOVT. COLLEGE OF NURSING SIKAR (R525)
    ASSOCIATED GROUP OF HOSPITAL JODHPUR 342009 (R534)
    5. GOVT. COLLEGE OF NURSING SHRIGANGANAGAR (R524) 6. GOVT. COLLEGE OF NURSING TIJARA ALWAR (R528)
    7. GOVT. COLLEGE OF NURSING PBM HOSPITAL CAMPUS BIKANER 8. GOVT. NURSING COLLEGE ALWAR (R532)
    (R520)
    9. GOVT. COLLEGE OF NURSING M.B. HOSPITAL UDAIPUR (R517) 10. GOVT. COLLEGE OF NURSING HANUMANGARH (R511)
    11. GOVT. NURSING COLLEGE CHURU (R533) 12. GOVT. MODEL NURSING INSTITUTE KEKARI AJMER (R530)
    13. GOVT. COLLEGE OF NURSING PALI (R519) 14. GOVT. COLLEGE OF NURSING JHUNJHUNU (R514)
    15. GOVT. NURSING COLLEGE M.B. GOVT. HOSPITAL KOTA (R535) 16. GOVT. COLLEGE OF NURSING KARAULI (R515)
    17. GOVT. COLLEGE OF NURSING TONK (R529) 18. GOVT. COLLEGE OF NURSING BANSWARA (R501)
    19. GOVT. COLLEGE OF NURSING BARAN (R502) 20. LIBERTY COLLEGE OF NURSING OPPOSITE MVG UNIVERSITY
    MAIN DELHI ROAD DHAND AMER JAIPUR - 302008 (R589)
    21. SHREE RAM COLLEGE OF NURSING 45-48 VIVEK VIHAR POST- 22. JAIPUR COLLEGE OF NURSING AND HOSPITAL SHIVDASPURA
    KANOTA JAIPUR 303012 (R651) BARKHEDA NH-12 JAIPUR- 303903 (R576)
    23. MAHATMA JYOTIBA FULE COLLEGE OF NURSING RINGUS ROAD 24. BANSUR NURSING COLLEGE BYE-PASS RAOD BANSUR ALWAR-
    CHOMU (JAIPUR) PIN- 303702 JAIPUR (R600) 301402 (R552)
    25. AKHIL BHARTI VIDHYAPEETH (COLLEGE OF NURSING) 26. KHAWAJA GARIB NAWAZ COLLEGE OF NURSING NEAR
    BALURAM COMPOUNDER KI GALI JAIPUR ROAD SIKAR 332001 SABALPURA FATEHPUR ROAD N.H. 11 SIKAR - 332001 (R586)
    (R539)
    27. CHOUDHARY KANARAM DHAKA MEMORIAL NURSING COLLEGE 28. JUBIN COLLEGE OF NURSING CHAK- 7- A CHOTTI IIND
    VPO DHIGAL JHUNJHUNU - JAIPUR -HIGHWAY JHUNJHUNU PADAMPUR ROAD DIST SRI GANGANAGAR-335001 (R582)
    (R557)
    29. ALWAR NURSING COLLEGE (PUBLIC ROSE SHIKSHA SIMITI) 30. G.L. SAINI MEMORIAL COLLEGE OF NURSING ISKAN ROAD OPP.-
    TIJARA ROAD ALWAR-301001 (R540) VIJAY PATH MANSAROVAR JAIPUR (R567)
    31. JAIPUR HOSPITAL COLLEGE OF NURSING SHIPRA PATH 32. MAHATMA GANDHI B.SC. NURSING COLLEGE N.H. 11 PURA KI
    MANSAROVAR JAIPUR 302020 (R577) DHANI SIKAR-332001 (R598)
    33. ANNAPURNA MEDICAL TRAINING INSTITUTE (COLLEGE OF 34. NIMT COLLEGE OF NURSING 1-4 INDIRA GANDHI MARG
    NURSING) JAIPUR ROAD SIKAR - 332001 (R543) BAGRANA POST- KANOTA - AGRA ROAD JAIPUR (R612)
    35. NAURANG RAM DAYANAND DUKIYA NURSING COLLEGE NRDD 36. PINK CITY COLLEGE OF NURSING NEAR PALWALA BALAJI
    CAMPUS MALSISAR ROAD JHUNJHUNU-333001 (R610) DHAKA NAGAR SIRSI ROAD JAIPUR (R613)
    37. SHEKHAWATI MEDICAL TRAINING INSTITUTE COLLEGE OF 38. RAJASTHAN COLLEGE OF NURSING KISSAN COLONY
    NURSING NARAYAN KA BAS LAXMANGARH SIKAR (R646) NAWALGARH ROAD SIKAR (R620)
    39. RUNGTA NURSING COLLEGE VILLAGE GHATA POST - BENADA 40. SARASWATI COLLEGE OF NURSING "SARASWATI COMPLEX"
    TEHSIL - BASSI JAIPUR (R627) AGRA BYPASS ROAD DAUSA (R639)
    41. SHIVAJI COLLEGE OF NURSING KHADI BHAG ROAD CHOMU DIST. 42. SHREE BALAJI COLLEGE OF NURSING SALASAR ROAD
    JAIPUR (R647) SUJANGARH DISTT. CHURU (R648)
    43. SWAMI VIVEKANAND B.SC. NURSING COLLEGE HANUMANGARH 44. VINAYAK COLLEGE OF NURSING 18-25 PARK RESIDENCY
    (R675) KALWAR ROAD HATHOJ JAIPUR - 302012 (R683)
    45. GOVT. NURSING COLLEGE AJMER (R531) 46. AADI COLLEGE OF NURSING PLOT NO. 3 AND 4 JAI NAGAR
    HARMADA SIKAR ROAD JAIPUR 302013 (R537)
    47. COLLEGE OF NURSING HARISH HOSPITAL KATORI WALA TIBARA 48. ALWAR COLLEGE OF NURSING (SHRI KRISHNA EDUCATION
    TIJARA ROAD ALWAR-301001 (R558) SOCIETY) BURJA DIST. ALWAR (R541)
    49. K. S. MEMORIAL COLLEGE OF NURSING SEWAR HOUSE OLD 50. KALPTARU COLLEGE OF B.SC. NURSING JAMAR KHOTRA ROAD
    BAGGI KHAN ROAD RATANADA JODHPUR -342001 (R583) TA - GIRWA UDAIPUR DIST. UDAIPUR (R584)
    51. MEDICAL AND TECHNOLOGICAL INSTITUTE OF NURSING PLOT
    NO.-02 LUV KUSH NAGAR-I TONK PHATAK JAIPUR-302015 (R605)

    Declaration : I have gone through and understood the Instructions containing the
    conditions governing the allotment process. I shall abide by the applicable rules. I am
    aware that during verification of documents at the time of reporting, if any discrepancy is
    detected including that in the original documents, then I may not be considered for
    allotment and liable for penal action. I declare that I will not disclose or share the password
    with anybody. I understand that I am solely responsible for safeguarding my password and
    the Nursing Admissions Board is not responsible for misuse of my password. I have
    checked all the choices filled by me and the order of preference. I am aware that after auto-
    locking on 15.01.2023, 7:00 pm, I will not be allowed to make any modifications in choices
    filled by me.

    Name of the Candidate Image of Signature Wet Signature

    MANISH DALAL

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