UNDERTAKING

(To be uploaded by the candidate at http://counseling.nbe.edu.in/

between 5th – 7th September 2020; duly handwritten and signed)

To,
National Board of Examinations,
Medical Enclave, Ansari Nagar,
Mahatma Gandhi Marg (Ring Road)
New Delhi-110029

Sub: Undertaking for non-joining of any seat allotted through State Quota
Counseling for 2020 Admission Session.

It is hereby certified that I Dr. ______________ S/o /D/o_______________________

aged ____ years had appeared in NEET-PG 2020 vide Roll Number ______________
and has obtained NEET-PG Rank _______.

I am willing to opt for DNB (Post MBBS) seat in Final (Mop-up) Round through
centralized merit based online counseling 2020 admission session to be conducted by
NBE.

I hereby declare that I have not joined any seat through the State Quota Counseling conducted
by Directorate Medical Education, State Government /Designated Counseling Authority held
for 2020-2021 Admission Session.

It is hereby declared that the above information is true and correct and that it conceals
nothing and that no part of this is false. In case the contents of this undertaking are
found to be incorrect or false, my candidature shall be treated as cancelled and I shall
also be debarred from the counseling process.

Signature of the candidate………………………….

Candidate Full Name: …………………………..

Mobile No.: ……………….

Email ID: ………………..

Rank.: ……………….

Roll No. : ………………..