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    Neet - Mds 2019

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    tanisha yi
    This document contains an application for the NEET-MDS 2019 exam submitted by Nivetha V. It includes her personal details like name, date of birth, category, contact details, identification details, address, BDS qualification details from Thai Moogambigai Dental College including marks obtained, internship details, test center details, payment details, uploaded images and declaration.

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    © All Rights Reserved
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    Neet - Mds 2019

    Uploaded by

    tanisha yi
    95 views4 pages
    This document contains an application for the NEET-MDS 2019 exam submitted by Nivetha V. It includes her personal details like name, date of birth, category, contact details, identification details, address, BDS qualification details from Thai Moogambigai Dental College including marks obtained, internship details, test center details, payment details, uploaded images and declaration.

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    This document contains an application for the NEET-MDS 2019 exam submitted by Nivetha V. It includes her personal details like name, date of birth, category, contact details, identification details, address, BDS qualification details from Thai Moogambigai Dental College including marks obtained, internship details, test center details, payment details, uploaded images and declaration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    95 views4 pages

    Neet - Mds 2019

    Uploaded by

    tanisha yi
    This document contains an application for the NEET-MDS 2019 exam submitted by Nivetha V. It includes her personal details like name, date of birth, category, contact details, identification details, address, BDS qualification details from Thai Moogambigai Dental College including marks obtained, internship details, test center details, payment details, uploaded images and declaration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    16/10/2018 NEET - MDS 2019

    Applicant Details

    Personal Details
    Application Seq No Candidate's Name
    MD005268 NIVETHA V
    Father's Name Mother's Name

    a Varghese john v maria viji


    Nationality Gender
    Indian Female
    Date of Birth Religion
    22/May/1996 Christian

    ARE YOU WILLING TO TAKE UP POST GRADUATE Category


    COURSES IN ARMED FORCES MEDICAL SERVICES
    OBC
    INSTITUTIONS
    No
    Physically Challenged
    No

    Contact Details
    Mobile Number Alternate Mobile Number
    9840817990 9840026805

    Email ID
    [email protected]

    Identification Details
    Identification Identification No.
    Aadhar Card 648843129238

    Marks of Identification

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    16/10/2018 NEET - MDS 2019

    a mole on the forehead

    Correspondence Address
    Address Line 1
    Old no.26/1, New no.34, New Tank Street, Nungambakkam

    Country State
    INDIA TAMIL NADU

    City/District Pin Code


    Chennai 600034

    Permanent Address
    Address Line 1
    Old no.26/1, New no.34, New Tank Street, Nungambakkam

    Country State
    INDIA TAMIL NADU

    City/District Pin Code


    Chennai 600034

    BDS Details
    Country of completion of BDS Qualification
    INDIA

    State
    TAMIL NADU

    City Name of College


    Chennai Thai Moogambigai Dental College and
    Hospital, Chennai

    Month and Year of Passing


    16/10/2018

    Internship Details

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    16/10/2018 NEET - MDS 2019
    Have you completed Internship
    No

    Location of Internship
    Chennai

    Institute of Internship Date of start of Internship


    Dr. M.G.R. Educational and Research 14/11/2017
    Institute University
    Likely Date of completion of Internship
    16/11/2018

    BDS EXAMINATION MARKS


    1st B.D.S Examination-PERCENTAGE OF MARKS OBTAINED
    76.83

    2nd B.D.S Examination-PERCENTAGE OF MARKS OBTAINED


    75.87

    3rd B.D.S Examination-PERCENTAGE OF MARKS 4th B.D.S Examination-PERCENTAGE OF MARKS


    OBTAINED OBTAINED
    73.16 69.37

    Test Center Details


    State City
    Tamil Nadu Chennai

    Payment Details
    Amount Payment Transaction No
    3750 PHMP6800468681

    Payment Status
    Successful

    Candidate Images Upload Details

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    16/10/2018 NEET - MDS 2019

    Photo

    Signature

    Declaration
    NEET MDS 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
    MDS the candidate explicitly agrees to the above Non Disclosure Agreement and general terms of
    use for NEET MDS as contained in this Information Bulletin, and NEET MDS 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 MDS 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 MDS 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 MDS
    I understand that the decision of NBE shall be final and binding upon me.
    Any dispute concerning NEET MDS 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.

    Version 13.05.01

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