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Get Up Nursing Council

Fill the form in English Capital letters only Centre Code Roll No. Candidate's Name Father's Name Date of Birth / D D / / M M / Y Y Y Y Permanent Address District State Pin Code Training Centre Name Joining:Month &Year Passing:Month &Year M M M M - Y Y Y Y Y Y Y Y Registration No. Registration Date Color Photograph Fee Receipt No. Fee Receipt Date Attested by Principal o.

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