5/2/2018 Nursing Officer and LDC Rect 2018

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Applicant Details

Post Applied Details

Post Applying for

112018 - Nursing Officer

Personal Details
Application Sequence No Applicant First Name

2000 karthika
Applicant Last Name

Arumugam

Son/Daughter of

ARUMUGAM SELVAM
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Gender Are you a Resident Indian National

Female Yes

Date of Birth (dd/mm/yyyy) Age as on 18.05.2018

07/07/1994 23 Years 10 Months 11 Days

Indian Nursing Council Registration No Name of Nursing Council

160815 TAMIL NADU NURSES AND MIDWIVES

COUNCIL CHENNAI INDIA

Date of Registration

19/10/2015
5/2/2018 Nursing Officer and LDC Rect 2018

Category Details
Whether OPH Category

No Other Backward Class (OBC - Non Creamy

Layer)

Whether employed in Central/State Govt./Public

Sector Undertaking

No

10th Details
Class Month Appeared

10th/SSLC March

Year Appeared Name of Board/Institute/University

2009 STATE BOARD OF SCHOOL EXAMINATIONS,

TAMILNADU

Place of Study

Puducherry

Qualification 1 Details
Class Month Appeared

12th/HSC March

Year Appeared Name of Board/Institute/University

2011 STATE BOARD OF SCHOOL EXAMINATIONS

HR.SEC, TAMILNADU
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Place of Study

Puducherry

Qualification 2 Details
Qualification Discipline

Degree BACHELOR OF SCIENCE IN NURSING

Month Appeared Year Appeared

August 2015

Name of Board/Institute/University Place of Study

KASTURBA GANDHI NURSING COLLEGE Puducherry

5/2/2018 Nursing Officer and LDC Rect 2018

Present Address Details

Address Line 1

New Nagar, Nonankuppam

Address Line 2

No.9 4th cross street

Address Line 3

Nonankuppam, Ariyankuppam

State City

Puducherry Puducherry

Pin Code Mobile Number

605007 9751381391

Confirm Mobile Number Email Address

9751381391 karthikaarumugam07@gmail.com

Confirm Email Address

karthikaarumugam07@gmail.com

Permanent Address
Address Line 1
No. 42A, 3rd cross st,
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Address Line 2

Gandhi Nagar

State City
Puducherry Puducherry

Pin Code Mobile Number

605009 9751381391

Confirm Mobile Number Email Address

9751381391 karthikaarumugam07@gmail.com

Confirm Email Address

karthikaarumugam07@gmail.com
5/2/2018 Nursing Officer and LDC Rect 2018

ID Proof Details
ID Proof ID Proof no

Aadhaar Card with Photograph 216437578677

Exam City Preference

Preferred Test City Option 1 Preferred Test City Option 2
Tiruvannamalai Chennai

Preferred Test City Option 3

Namakkal

Choose your payment Mode

Amount Paid Payment Mode

1500 online

Payment Status
S

Candidate Documents/Images Upload Details

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Photo

Signature

Declaration
5/2/2018 Nursing Officer and LDC Rect 2018

I hereby declare that I have carefully read the Advertisement and the Non Disclosure agreement.
I hereby declare that I am an Indian National.
I understand that fees once paid will not be refunded under any circumstances.
I hereby declare that the information given above is true and correct to the best of my knowledge
and belief.
I further declare to produce all certificates in original at the time of Certificate Verification /
Appointment relevant to my claims made in the application.
I also agree to forfeit my claim for Appointment in the event of failure to produce the relevant
original certificates.
I shall abide by the actions and decisions taken by the Jawaharlal Institute of Postgraduate Medical
Education & Research

Version 13.03.01

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