JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Evaluator Information for Nursing Examination
June-2024
Please submit the Evaluator's information for the June-2024 Examination willing to evaluate.
* Indicates required question
Email
*
Record my email address with my response
Evaluator Name
*
Your answer
Qualification
*
Your answer
Designation
*
Your answer
Speciality
*
Your answer
Experience
*
Your answer
Course Name (which course you taught)
*
Your answer
Subject Name (which subject you prefer to evaluate)
*
ANATOMY, PHYSIOLOGY & MICROBIOLOGY (GNM-4501 )
PSYCHOLOGY, SOCIOLOGY (GNM-4502 )
FUNDAMENTAL OF NURSING (GNM-4503)
COMMUNITY HEALTH NURSING - I (GNM-4504)
MEDICAL SURGICAL NURSING - I (GNM-4506)
MEDICAL SURGICAL NURSING - II (GNM-4507)
MENTAL HEALTH NURSING (GNM-4508)
CHILD HEALTH NURSING (GNM-4509)
MIDWIFERY AND GYNAECOLOGICAL NURSING (GNM-4513)
COMMUNITY HEALTH NURSING - II (GNM-4514)
COMMUNITY HEALTH NURSING (ANM-311)
HEALTH PROMOTION (ANM-312)
PRIMARY HEALTH CARE NURSING (ANM-313)
CHILD HEALTH NURSING (T) (ANM-314)
MIDWIFERY (T) (ANM-317)
HEALTH CENTER MANAGEMENT (ANM-318)
Required
Institution Name
*
Your answer
Evaluator's Address
*
Your answer
City
*
Your answer
Mobile Number
*
Your answer
Email Id
*
Your answer
Pan Card No.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UP State Medical Faculty & Allied Councils.
Report Abuse
Forms
