012023027408
KERALA NURSES AND MIDWIVES COUNCIL
RED CROSS ROAD,THIRUVANANTHAPURAM-35
Application No
:
GNM/REN/2023/14026
Application Date
:
31/05/2023
Name
:
SRUTHY DEVI P G
Course
:
Diploma in General Nursing and Midwifery
Permanent Address
:
PILLAKKONDOOR, CHANNANIKAD P.O,KOTTAYAM 686533
Date of Birth
:
14/04/1992
Gender
:
Female
State
:
Kerala
District
:
Kottayam
Phone
:
7356658950
Email
:
sruthydevupg@gmail.com
Parent Name
:
GOPINATHA PANICKER
Institute
:
Government School of Nursing, Kottayam
University
:
Not Applicable
Examination Body
:
Kerala nurses and midwives council
Period Of Training From
:
October
2009
Session of Final Exam
:
March
2013
Previous Renewal Serial No
:
R012018013890
Single Kerala Registration No
: 83684
Kerala Registration No(Nurse)
:
Not Applicable
Kerala Registration No(Midwife)
:
Not Applicable
Date of Registration
:
15/05/2013
To: March
2013
I hereby accept that the statements made in the form are true to the best of my knowledge and belief
and
that
I
am
free
the
disqualifications
mentioned
in
Section
6 of
the
Nurses
&
Midwives'
Act
1953,as
amended and promise in the event of my being registered and in consideration there if to be bound by
and to confirm in all respect to the rules,regulations etc,framed by the council from time in force.
Signature of Candidate
Date: 31-05-2023
Renewal of Registration - Instructions
01/01/1990 to 31/12/2012
* The print out of the application should be forwarded to Council by post with the
following documents immediately.
1.
Council copy of Chalan.
2.
Original Registration Certificate of the Kerala Nurses and Midwives Council.
NB:
1. The old Registration Certificate will be stamped and returned back with the
Renewed Registration Certificate to the Candidate by Speed Post. The
candidates have to enter the correct postal address in the application form.
2. Attendance in Continuing Nursing Education and Credit hours is not
mandatory for this renewal.
01/01/2013 Onwards
* The print out of the application should be forwarded to Council by post with the
following documents immediately.
1.
Council copy of Chalan.
2.
Original Kerala Nursing Council Registration Certificate.
3.
Self attested Copy of Certificates of attending Continuing Nursing Education.
Postal Address:
The Registrar,
Kerala Nurses and Midwives Council,
Red Cross Road, Near General Hospital,
Thiruvananthapuram- 695 035
Sd/REGISTRAR