CNPD: Registration Form

First Name*

Middle Name

Last Name*

Father's Name*

Mobile Number*

Email Id*

Pan Card*

Name Of Institute*

Select State:*

Select City:*

Designation*

Principal

Vice Principal

Professor

Associate Professor

Assistant Professor

Tutor/ Clinical Instructor

Others

Qualification*

PhD Nursing

PhD Scholar

M.Sc. Nursing

B.Sc. Nurisng

G.N.M.

Post Basic B.Sc. Nursing

Others

RN/RM Number*

Name of Council*

UPNMC

Others

Uttar Pradesh Nurses & Midwives Council