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id=cdkITpLUwJKmQSFZh4oulw==

All India Institute of Medical Sciences

Ansari Nagar, New Delhi - 110608

Basic Registration Form - AIIMS PG Courses[MD/MS/MCh(6YRS)/DM(6YRS)/MDS]

Candidate Profile Registration ID: P6121008402 Registration Date: 01/09/2018

Candidate Name: VADDI RANJITHA Applied Course:

MD/MS/MCH(6YRS)/DM(6YRS)

Date of Birth: 01 Jun 1993 Category: General

Gender: Female Marital Status: Married

Father's Name: HARINATH Mother's Name: PARVATHI

PWBD Status: No Mentioned Specified Disability: NA

Nationality: INDIAN

Identification Mark(1): A MOLE ON THE RIGHT ARM Identification Mark(2):

A MOLE ON THE LEFT SHOULDER

Contact Details

Mobile No: 1. 8328203277 , 2. Alternate-MobileNo 9550864485 E-Mail ID: ranjitha.vaddi1993@gmail.com

Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card)

ID Proof: Adhar Card ID No: 887895894371 Place of Issue: INDIA Issue Date: NA Valid Till: NA

UNDERTAKING/DECLARATION: I hereby declare that the information furnished by me in the Registration/Application Form is correct and nothing has been
concealed. In case any information furnished by me is found to be false/incorrect/untrue than i shall be liable to civil/criminal prosecution and my claim to
admission/appointment/registration/ service in the Institute may be cancelled/terminated.

Signature of Candidate
Thumb of Candidate

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