11/22/2018 NEET - PG 2019

Applicant Details

Personal Details
Application Seq No Candidate's Name

PG162244 SHARDA KUMARI

Father's Name Mother's Name

binod kumar pinky

Nationality Gender
Indian Female

Date of Birth Religion

30/Nov/1993 Hindu

Category Physically Challenged

General No

Place of Birth ARE YOU WILLING TO TAKE UP POST GRADUATE COURSES IN

ARMED FORCES MEDICAL SERVICES INSTITUTIONS
Bihar
Yes

ARMED FORCES MEDICAL SERVICE CATEGORY

Serving Officers of the AFMS

Contact Details
Mobile Number Alternate Mobile Number
9582180512 9931727306

Email ID
deepakvats1994@gmail.com

Identification Details
Identification Identification No.
Aadhar Card 854319237304

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Marks of Identification
finger cut in left hand

Correspondence Address
Address Line 1
ward no 21

Address Line 2
At Shivsthan PO Bihat

Country State

INDIA BIHAR

City/District Pin Code

Begusarai 851135

Permanent Address
Address Line 1

ward no 21

Address Line 2
At Shivsthan PO Bihat

Country State
INDIA BIHAR

City/District Pin Code

Begusarai 851135

Medical Council Registration Details

MCI/SMC REGISTRATION TYPE

Permanent

MCI/SMC REGISTRATION NUMBER

47154

STATE OF REGISTRATION

BIHAR

REGISTRATION MEDICAL COUNCIL

Bihar Medical Council

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Academic Details
State of Completion of Class 10th

BIHAR

State of Completion of Class 12th

ANDHRA PRADESH

MBBS Details
Country of completion of MBBS Qualification
INDIA

State
BIHAR

City Other City

OTHERS sasaram

University of Completion University Name

VEER KUNWAR SINGH UNIVERSITY,BIHAR VEER KUNWAR SINGH UNIVERSITY

Name of College Month and Year of Passing

NARAYAN MEDICAL COLLEGE AND HOSPITAL, 29/06/2017

SASARAM

Internship Details
Have you completed Internship
Yes

Location of Internship
SASARAM

Institute of Internship Date of start of Internship

NARAYAN MEDICAL COLLEGE AND HOSPITAL 13/07/2017

Date of completion of Internship

12/07/2018

MBBS EXAMINATION MARKS

1st MBBS Examination-Percentage of marks obtained
60.66
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2nd MBBS Examination-Percentage of marks obtained

61.27

Final MBBS Examination-Percentage of marks obtained

61.53

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

Bihar Patna

Payment Details
Amount Payment Transaction No
3750 PSBI6922248984

Payment Status
Successful

Candidate Images Upload Details

Photo

Signature

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11/22/2018 NEET - PG 2019

Declaration

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.

Version 13.05.01

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