Ankit Singh Neet - PG 2019 PDF

11/22/2018 NEET - PG 2019
Applicant Details
Personal Details
Application Seq No Candidate's Name
PG159507 ANKIT SINGH
Father's Name Mother's Name
Anirudha kumar singh Krishna singh

Nationality Gender
Indian Male
Date of Birth Religion
10/Oct/1990 Hindu
Category Physically Challenged

SC No
Place of Birth ARE YOU WILLING TO TAKE UP POST GRADUATE

COURSES IN ARMED FORCES MEDICAL SERVICES
Auraiya
INSTITUTIONS
Yes
ARMED FORCES MEDICAL SERVICE CATEGORY

Civilians (will have bond liability to serve
AFMS)
Contact Details
Mobile Number Alternate Mobile Number
8400340050 9455851325
Email ID
[email protected]
https://g21.digialm.com/EForms/BillDeskWithHMACAfterPaymentAction.do?formOrgType=57907ZZ1815ZZonline 1/6
11/22/2018 NEET - PG 2019
Identification Details
Identification Identification No.
Aadhar Card 734306982514
Marks of Identification
Black mole right arm, 8 cm from right
clavicle
Correspondence Address
Address Line 1
573/460
Address Line 2
Mumfordganj
Country State
INDIA UTTAR PRADESH
City/District Pin Code
Allahabad 201002
Permanent Address
Address Line 1
Village Biruhuni
Country State
INDIA UTTAR PRADESH
City/District Pin Code

Auraiya 206129
Medical Council Registration Details

MCI/SMC REGISTRATION TYPE
Permanent
11/22/2018 NEET - PG 2019
MCI/SMC REGISTRATION NUMBER
73356
STATE OF REGISTRATION
UTTAR PRADESH
REGISTRATION MEDICAL COUNCIL

Uttar Pradesh Medical Council
Academic Details
State of Completion of Class 10th
UTTAR PRADESH
State of Completion of Class 12th

UTTAR PRADESH
MBBS Details
Country of completion of MBBS Qualification
INDIA
State
UTTAR PRADESH
City University of Completion

Kanpur Nagar DR B R AMBEDKAR UNIVERSITY,AGRA, U.P.
University Name Name of College

Dr. B R Ambedkar University, Agra RAMA MEDICAL COLLEGE AND HOSPITAL ,
KANPUR
Month and Year of Passing

31/03/2015
Internship Details
Have you completed Internship
Yes
11/22/2018 NEET - PG 2019
Location of Internship
Kanpur
Institute of Internship Date of start of Internship
Rama Medical College And Hospital 01/04/2015
Date of completion of Internship

31/03/2016
MBBS EXAMINATION MARKS

1st MBBS Examination-Percentage of marks obtained
56.33
2nd MBBS Examination-Percentage of marks obtained
58.36
Final MBBS Examination-Percentage of marks obtained

56.23
Additional Information
Deported/Rusticated during Medical Course Charged of use of unfair means by NBE/Other
examination body
No
No
Have you appeared in NEET PG previously

No
Test Center Details

State City
Uttar Pradesh Kanpur
Payment Details
Amount Payment Transaction No
2750 PSBI6919089670
Payment Status
11/22/2018 NEET - PG 2019
Successful
Candidate Images Upload Details
Photo
Signature
Declaration
11/22/2018 NEET - PG 2019
NEET PG is a proprietary examination and is conducted by National Board of Examinations. The

contents of this exam are confidential, proprietary and are owned by National Board of Examinations.
NBE explicitly prohibits the candidate from publishing, reproducing or transmitting any or some
contents of this exam, in whole or in part, in any form or by any means verbal or written, electronic or
mechanical or for any purpose. No content of this exam must be shared with friends, acquaintances
or third parties including sharing through online means or via social media. Social media includes but
not limited to SMS, Whatsapp, Facebook, Twitter, Hangouts, Blogs etc using either one’s own account
or proxy account(s). By registering for and /or appearing in NEET PG the candidate explicitly agrees to
the above Non Disclosure Agreement and general terms of use for NEET PG as contained in this
Information Bulletin, and NEET PG website. Violation of any act or breach of the same shall be liable
for penal action and cancellation of the candidature at the bare threshold
I certify that I fulfill the eligibility requirements for NEET PG and have furnished complete and correct
information.
I understand that any instances of furnishing incorrect information detected at any stage of the
selection process will automatically disqualify me from the selection process and I will not be allowed
appear for NEET PG in future.
Similarly, if such instances go undetected during the current selection process but, are detected in
subsequent years, such disqualification will take place with retrospective effect.
I also understand that provision of incomplete information will automatically disqualify me from the
selection process.
I have read the information bulletin and do hereby undertake that I will not indulge in any unfair
means/practice for NEET PG
I understand that the decision of NBE shall be final and binding upon me.
Any dispute concerning NEET PG would be subject to Jurisdiction of the Competent Courts exclusively
at Delhi/New Delhi only.
I will comply with the Non Disclosure Agreement as indicated in the information bulletin. I certify that I
have read and gone through the information bulletin for the exam.
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11/22/2018 NEET - PG 2019

Anirudha kumar singh Krishna singh

Category Physically Challenged

Place of Birth ARE YOU WILLING TO TAKE UP POST GRADUATE

ARMED FORCES MEDICAL SERVICE CATEGORY

City/District Pin Code

City/District Pin Code

Medical Council Registration Details

MCI/SMC REGISTRATION NUMBER

REGISTRATION MEDICAL COUNCIL

State of Completion of Class 12th

City University of Completion

University Name Name of College

Month and Year of Passing

Institute of Internship Date of start of Internship

Rama Medical College And Hospital 01/04/2015

Date of completion of Internship

MBBS EXAMINATION MARKS

2nd MBBS Examination-Percentage of marks obtained

Final MBBS Examination-Percentage of marks obtained

Have you appeared in NEET PG previously

Test Center Details

Uttar Pradesh Kanpur

Candidate Images Upload Details

NEET PG is a proprietary examination and is conducted by National Board of Examinations. The

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