Read MAHAKOSHAL NURSES REGISTRATION COUNCIL text version

MAHAKOSHAL NURSES REGISTRATION COUNCIL M-78, BLOCK No. 9, HARSHWARDHAN NAGAR, BHOPAL-462003 Application for permission to appear for examination

(This application must reach the Registrar, at least 2 months before the date fixed for the commencement of the examination). FIRST YEAR EXAMINATION IN GENERAL NURSING-MIDWIFERY 31/2 YEAR COURSE PRESCRIBED BY INDIAN NURSING COUNCIL YEAR OF REVISION 2001 Subjects: 1. Bio-Science (Anatomy & Physiology Microbiology) 2. Behavioural Science (Psychology, Sociology) 3. Fundamentals Of Nursing (Fundamental of Nursing First Aid Personal Hygiene) 4. Community Health Nursing-I (Community Health Nursing Environmental Hygiene, Health Education & Comm.Skills, Nutrition) Practical- I: Fundamentals Of Nursing Attest Passport Size Photo

To, The Registrar, Mahakoshal Nurses Registration Council, Bhopal.

Through- Principal/Senior Sister Tutor/Incharge Sister Tutor, School Of Nursing-------------------------------------------------------------------------------------------Hospital-----------------------------------------Sir/Madam, I request permission to present myself at the ensuing First Year Examination in General NursingMidwifery 31/2 Year Course in the subject or subjects noted overleaf. The sum of Rs. 700/- (Rs. Seven Hundred Only) is forwarded herewith as Examination fee by Cross Bank Draft. The particulars given below in Parts I & II are true to the best of my knowledge. Place-------------------Date--------------------I am Sir, Yours faithfully. Signature of Examinee. IPERSONAL DETAILS

1. Name in full (in block letters) Ku./Smt./Shri-----------------------------------------------------------------------------------------------------------D/o, W/o, S/o----------------------------------------------------------------------2. Sex------------------------------------------Single/Married-----------------------------------------------------------3. Race or Caste or Religion--------------------------------------------------------------------------------------------4. Date of Birth------------------------------------------------Age------------------------------------------------------5. Educational qualification and percentage Enclose Marksheet of XIIth ---------------------------------------6. Age at the time of admission to the Training School-------------------------------------------------------------7. Name of recognised training institution in which training is taken---------------------------------------------8. Date of admission to the recognised training centre--------------------------------------------------------------9. Period of training from---------------------------to-------------------[years---------------months----------------] 10. Permanent residential address in full-----------------------------------------------------------------------------11. Training Centres full address--------------------------------------------------------------------------------------12. Attempts similar examination previously appeared------------------------------------------------------------S.No. 1. 2. 3. Signature Of Examinee Roll No. Month & Year of Exam. Subjects Exam. Centre

2

II-EXAMINATION PARTICULARS 1. I wish to be examined at-----------------------------------------------------------Centre. 2. I am appearing at the ensuing First Year Examination in General Nursing-Midwifery First/Second/Third time. 3. I wish to be examined in the subjects of:(a). Bio-Science (Anatomy & Physiology Microbiology) (b). Behavioural Science (Psychology, Sociology) (c). Fundamentals Of Nursing (Fundamental of Nursing First Aid Personal Hygiene) (d).Community Health Nursing-I (Community Health Nursing Environmental Hygiene, Health Education & Comm. Skills, Nutrition) (e) Practical- I: Fundamentals Of Nursing 4. I have already passed in the subjects (1)----------------------------------------(2)----------------------------(3)-------------------------------------(4)-----------------------------------------------in the First Year Examination in General Nursing Midwifery held last on ---------------------------------200 . and therefore I have to appear/reappear only in the subjects of (1)------------------------(2)--------------------------(3)-------------------in which I have undergone revisor course after failure for a period of not less than 6 months in the subjects in which I have failed. I wish to answer the question papers in English/Hindi Medium. (Strike out the portion not applicable)

Place---------------------Date-----------------------------------------------Signature of Examinee. III-CERTIFICATE OF PRINCIPAL/SENIOR SISTER TUTOR/ I/c SISTER TUTOR The undersigned hereby certify that-

1. Smt./Ku./Shri--------------------------------------------------------------------------------Fulfils the educational requirements for admission to the Course of First Year Examination in General Nursing-Midwifery as laid down in the regulations and syllabus for General Nursing- Midwifery prescribed by the Indian Nursing Council Year of Revision 2001 2. She has completed not less than 11 months training and that her work and conduct have been satisfactory during that period. 3. She has attended not less than 75% of the lectures and demonstrations given on each subject in the training centre according to the Syllabus prescribed by the Indian Nursing Council. 4. She has completed "Record of Practical Work" signed by Sister Tutor/Ward Sister and she is directed to present it at the Practical Examination. 5. She has undergone revision of course in the subjects in which she has failed last time for a period or not less than 6 months. 6. She is my opinion Medically fit, age, education, character, conduct and training to appear/reappear at the First Year Examination in General Nursing-Midwifery Course. 7. The particulars given above are true to the best of my knowledge.

Place-----------------Date--------------200 .

Principal/Senior Sister Tutor/I/c/Sister Tutor ---------------------Hospital-------------

MAHAKOSHAL NURSES REGISTRATION COUNCIL M-78, BLOCK No. 9, HARSHWARDHAN NAGAR, BHOPAL-462003 Application for permission to appear for examination

(This application must reach the Registrar, at least 2 months before the date fixed for the commencement of the examination). SECOND YEAR EXAMINATION IN GENERAL NURSING-MIDWIFERY 31/2 YEAR COURSE Subjects: 1. Medical Surgical Nursing-I(Including Pharmacology) 2. Medical Surgical Nursing-II(Specialities) 3. Mental Health & Psychiatric Nursing Practical- I: Medical Surgical Nursing-I Practical-II: Psychiatric Nursing (Only School Examination. no Council/Board Exam.) To, The Registrar, Mahakoshal Nurses Registration Council, Bhopal. Attest Passport Size Photo

Through- Principal/Senior Sister Tutor/Incharge Sister Tutor, School Of Nursing-------------------------------------------------------------------------------------------Hospital-----------------------------------------Sir/Madam, I request permission to present myself at the ensuing Second Year Examination in General Nursing-Midwifery 31/2 Year Course in the subject or subjects noted overleaf. The sum of Rs. 700/- (Rs. Seven Hundred Only) is forwarded herewith as Examination fee by Cross Bank Draft. The particulars given below in Parts I & II are true to the best of my knowledge. Place-------------------Date--------------------I am Sir, Yours faithfully. Signature of Examinee. IIPERSONAL DETAILS

1. Name in full (in block letters) Ku./Smt./Shri-----------------------------------------------------------------------------------------------------------D/o, W/o, S/o----------------------------------------------------------------------2. Sex------------------------------------------Single/Married-----------------------------------------------------------3. Race or Caste or Religion--------------------------------------------------------------------------------------------4. Date of Birth------------------------------------------------Age------------------------------------------------------5. Educational qualification---------------------------------------------------------------------------------------------6. Age at the time of admission to the Training School-------------------------------------------------------------7. Name of recognised training institution in which training is taken---------------------------------------------8. Date of admission to the recognised training centre--------------------------------------------------------------9. Period of training in 2nd Year from----------------to-----------------[years-------------months----------------] 10. Permanent residential address in full-----------------------------------------------------------------------------11. Training Centres full address--------------------------------------------------------------------------------------12. Attempts similar examination previously appeared------------------------------------------------------------13. Photocopy of Marksheet of previous council exam. S.No. 1. 2. 3. Place-----------------------Date-------------------200 . Signature Of Examinee Roll No. Month & Year of Exam. Subjects Exam. Centre

2 II-EXAMINATION PARTICULARS 1. I wish to be examined at-----------------------------------------------------------Centre. 2. I have passed my First Year Examination in G.N.M. Midwifery in exam held by Mahakoshal Nurses Registration Council on---------------------------------and the following days. 3. I am appearing at the ensuing First Year Examination in General Nursing-Midwifery First/Second/Third time. 4. I wish to be examined in the subjects of:1. Medical Surgical Nursing-I(Including Pharmacology) 2. Medical Surgical Nursing-II(Specialities) 3. Mental Health & Psychiatric Nursing Practical- I: Medical Surgical Nursing-I Practical-II: Psychiatric Nursing (Only School Examination. no Council/Board Exam.) 5. I have already passed in the subjects (1)----------------------------------------(2)--------------------------(3)---------------------------------------------(4)-------------------------------------------in the Second Year Examination in General Nursing Midwifery held last on --------------------------------------200 . and therefore I have to appear/reappear only in the subjects of (1)------------------------(2)--------------------------(3)-----------------------(4)----------------------------------in which I have undergone revisor course for a period of not less than 6 months in the subjects in which I have failed. I wish to answer the question papers in English/Hindi Medium. (Strike out the portion not applicable) Place---------------------Date-----------------------------------------------Signature of Examinee. III-CERTIFICATE OF PRINCIPAL/SENIOR SISTER TUTOR/ I/c SISTER TUTOR The undersigned hereby certify that-

1. Smt./Ku./Shri--------------------------------------------------------------------------------Fulfils the educational requirements for admission to the Course of Second Year Examination in General Nursing-Midwifery as laid down in the regulations and syllabus for General Nursing- Midwifery 31/2 Year prescribed by the Indian Nursing Council. 2. She has completed not less than 1 year passing the First Year Examination and that her work and conduct have been satisfactory during that period. 3. She has attended not less than 75% of the lectures and demonstrations given on each subject in the training centre according to the Syllabus prescribed by the Indian Nursing Council. 4. She has completed "Record of Practical Work" signed by Sister Tutor/Ward Sister and she is directed to present it at the Practical Examination. 5. She has undergone revision of course in the subjects in which she has failed last time for a period or not less than 6 months. 6. She is my opinion Medically fit, age, education, character, conduct and training to appear/reappear at the First Year Examination in General Nursing-Midwifery Course. 7. The particulars given above are true to the best of my knowledge.

Place-----------------Date--------------200 .

Principal/Senior Sister Tutor/I/c/Sister Tutor ---------------------Hospital-------------

Note: Before sending please tally the candidates name with the Result Sheet of the Examination. She last Passed. The name then written must be perpetuate.

MAHAKOSHAL NURSES REGISTRATION COUNCIL M-78, BLOCK No. 9, HARSHWARDHAN NAGAR, BHOPAL-462003 Application for permission to appear for examination

(This application must reach the Registrar, at least 2 months before the date fixed for the commencement of the examination). FINAL YEAR EXAMINATION IN GENERAL NURSING-MIDWIFERY 31/2 YEAR COURSE Subjects: 1. Midwifery & Gynaecology 2. Paediatric Nursing 3. Community Health Nursing-II Practical- I: Midwifery Practical-II: Paediatric Nursing Practical-III: Community Health Nursing-II To, The Registrar, Mahakoshal Nurses Registration Council, Bhopal.

Attest Passport Size Photo

Through- Principal/Senior Sister Tutor/Incharge Sister Tutor, School Of Nursing------------------------------------------------------------------------------------------Hospital-----------------------------------------Sir/Madam, I request permission to present myself at the ensuing Second Year Examination in General Nursing-Midwifery 31/2 Year Course in the subject or subjects noted overleaf. The sum of Rs. 700/- (Rs. Seven Hundred Only) is forwarded herewith as Examination fee by Cross Bank Draft. The particulars given below in Parts I & II are true to the best of my knowledge. Place-------------------Date--------------------I am Sir, Yours faithfully. Signature of Examinee. IIIPERSONAL DETAILS

1. Name in full (in block letters) Ku./Smt./Shri-----------------------------------------------------------------------------------------------------------D/o, W/o, S/o----------------------------------------------------------------------2. Sex------------------------------------------Single/Married-----------------------------------------------------------3. Race or Caste or Religion--------------------------------------------------------------------------------------------4. Date of Birth------------------------------------------------Age------------------------------------------------------5. Educational qualification---------------------------------------------------------------------------------------------6. Age at the time of admission to the Training School-------------------------------------------------------------7. Name of recognised training institution in which training is taken---------------------------------------------8. Date of admission to the recognised training centre--------------------------------------------------------------9. Period of training in 3rd Year G.N.M.from-------------------to---------------[years--------months------------] 10. Permanent residential address in full-----------------------------------------------------------------------------11. Photocopy of Marksheet of previous council exam. 12. Other particulars, if any---------------------------------------------------------------------------------------------. S.No. Roll No. Month & Year of Exam. Subjects Exam. Centre

1. 2. 3. Signature Of Examinee Place--------------------Date-------------------200 . 1. Please quote roll number of the examination last taken. 2. Please tally this name with the Result in which her name has last appeared.

2 II-EXAMINATION PARTICULARS 1. I wish to be examined at-----------------------------------------------------------Centre. 2. I wish to appear at the ensuing Final Examination for First/Second/Third time. 3. I wish to be examined in the subjects of:1. Midwifery & Gynaecology 2. Paediatric Nursing 3. Community Health Nursing-II Practical- I: Midwifery Practical-II: Paediatric Nursing Practical-III: Community Health Nursing-II 4. I have already passed in the subjects (1)----------------------------------------(2)--------------------------(3)-------------------------(4)------------------- (5)------------------------(6)----------------------------------Examination in General Nursing Midwifery held on --------------------------------------200 . and the following days and hence I am reappearing in the examination. I have undergone refresher's course in the subject for a period of not less then 6 months after my failure. 5. I wish to answer the question papers in English/Hindi Medium.

Place---------------------Date-----------------------------------------------Signature of Examinee. III-CERTIFICATE OF PRINCIPAL/SENIOR SISTER TUTOR/ I/c SISTER TUTOR The undersigned hereby certify that-

1. Smt./Ku./Shri-------------------------------------------------------------------------------- completed 3 years of training and passed 2nd year examination. 2. She has attended not less than 75% of the lectures and demonstrations on the subject given in the training centre and also 75% of the field experience prescribed by INC. 3. She has completed "Cash Book" signed by Sister Tutor/Ward Sister and she is directed to present it at the Practical Examination. 4. She has undergone revision of course in the subjects in which she has failed last time for a period or not less than 6 months. 5. She is my opinion Medically fit, age, education, character, conduct and training to appear for the Final Examination 6. The particulars given above are true to the best of my knowledge.

Place-----------------Date--------------200 . Training Centre---------------------Hospital------------Principal/Senior Sister Tutor/ I/c/Sister Tutor.

Information

MAHAKOSHAL NURSES REGISTRATION COUNCIL

6 pages

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

499942


You might also be interested in

BETA
Licensed Practical and Lice...
MAHAKOSHAL NURSES REGISTRATION COUNCIL
MAHAKOSHAL NURSES REGISTRATION COUNCIL
CONTENTS