rassro1g NEET- PG 2020 le. Applicant Details Personal Details Application Seq No Candidate's Name PG118498 VADDI RANJITHA Father's Name Mother's Name VADDI HARINATH VADDI PARVATH! Nationality Gender INDIAN FEMALE Date of Birth Religion ot/Jun/1993, HINDU Category GENERAL Place of Birth Are you a person with dlsablty ? ‘SRI KALAHASTI No ‘Are You Willing to Take up Post Graduate Courses in ‘Armed Forces Medical Services Institutions No Contact Details Mobile Number Alternate Mobile Number 8247576649 8328203277 Email ID PRASADNAIDU271985@GMAIL.COM itps1ig21.sigialm.com/EFonmsilog nAction.dosubAction=DisplayProfleorgld=1815koicuLsting=BformidH63104&sessChk=1S75344804237KencV... 116rassro1g Identification Details Ideneification PAN CARD Marks of Identifcatio AMOLE ON THE RIGHT ARM Correspondence Address Address Line 15.35/2 Address Line 2 B P AGRAHARAM, SRI KALAHASTI Country INDIA Cly/District CHITTOOR Permanent Address Address Line 15-35/2 ‘Address Line 2 B P AGRAHARAM, SRI KALAHASTI County INDIA yi District CHITTOOR Academic Details stat f Completion of Class 101 NEET- PG 2020 Identification No DVXPR5922P State ANDHRA PRADESH Pin Code 517644 ANDHRA PRADESH Pin Code 517644 itps1ig21.ciglalm.comiEFonmslog nAction.do?subAction=DisplayProfleorgld=1815koicuLsting=Bformid+63104&sessChk=1S75344804237KencV... 216rassro1g ANDHRA PRADESH State of Completion of Class 12th ANDHRA PRADESH MBBS Details Country of completion of MB3S Qualification INDIA State ANDHRA PRADESH cy CUDDAPH Name of College FATHIMA INSTT. OF MEDICAL SCIENCES,KADA, PA Internship Details Have you completed Internship YES Location of Internship CUDDAPH Institute of internship FATHIMA INSTT. OF MEDICAL SCIENCES Date of completion of internship 27/03/2019 Medical Council Registration Details MCUSMC Registration Type PROVISIONAL NEET- PG 2020 University of Completion NTR UNIVERSITY OF HEALTH SCIENCES, VJAY WADA Month and Year of Passing 24/03/2018 Date of start of Internship 28/03/2018 itps1#g21.aigialm.com/EFonmsslog nAction.do?subAction=DisplayProfleorgld=1815KoicuLsting=Aformid+63104&sessChk=1S75344884237RencV... 316rassro1g MCUSMC Registration Number APMCPMR67832 State of Registration ANDHRA PRADESH Registration Medical Council ANDHRA PRADESH MEDICAL COUNCIL MBBS EXAMINATION MARKS. (BBS Examinatlon-Percentage of marks obtained 59 2nd MBBS Examination-Percentage of marks obtained 64 Final MBBS Exarination-Percentage of marks obtained 52 Additional Information Deported/Rusticated during Medical Course No Have you appeared in NET PG previously No Test Center Details State ANDHRA PRADESH Payment Details Amount 3750 Payment Status NEET- PG 2020 Charged of use of unfair means by NBE/Other ‘examination body No ay TIRUPATHI Payment Transaction No RHMP8168700252 itps1ig21.ciglalm.com/EFonmsslog nAction.dosubAction=DisplayProflesorgld=1815koicuLsting=Blormid+63104&sessChk=1S75344804237RoncV... 4/6rassro1g NEET- PG 2020 Successful Candidate Images Upload Details Ip Photo Signature Left Thumb Impression Attachments. To view MCVSMC registration certificate of MBBS QualificationClick here, Declaration itps1lg21.siglalm.com/EFormsslog nAction.dosubAction=DisplayProfleorgld=1815kolcuL isting=8formid+63104&sessChk=18753448642374encV. 58rassro1g NEET-PG 2020 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 of 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 NET PG as contained in this information bulletin, and NET 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 | fulfil the eligibility requirements for NEET PG and have furnished complete and correct information, 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 | 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. | also understand that providing incomplete information will automatically disqualify me from the selection process Ihave read the information bulletin and do hereby undertake that | will not indulge in any unfair means/practice for NEET PG. understand that the decision of NBE shall be final and binding upon me ‘Any dispute concerning NET PG would be subject to Jurisdiction of the Competent Courts exclusively at Delhi/New Delhi only, Iwill comply with the Non Disclosure Agreement as indicated in the information bulletin. | certify that have read and gone through the information bulletin for the exam. 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