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
nivethajohn@gmail.com

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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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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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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