12/17/2019 NEET- 2020: Confirmation Page for Application Number :200410263508

Click Here to Print This Page Home

You have successfully submitted On-line Application. Please preserve this page alongwith proof of fee payment for future reference.

CONFIRMATION PAGE - NEET (UG) - 2020

Application No. 200410263508

अ यथ का नाम (Candidate's Name) YADAVALLI KRISHNAKANTH ज म ितिथ (Date of Birth) 02/01/1999

माता का नाम (Mother's Name) YADAVALLI GANGAMMA िलंग (Gender) Male

पता का नाम (Father's Name) YADAVALLI SREENIVASULU वग (Category) OBC (NCL)

क ा बारहवीं / यो यता पर ा उ ीण करने /पर ा का वष द यांग य

(Year of Passing/Appearing Class-XII/Qualifying 2016 Person with Disability (PwD)(if disability is 40% No
Exam) or above) :

पा ता का रा य/दे श
Andhra Pradesh रा ीयता (Nationality) Indian
(State/Country of Eligibility)

ा ांक का ितशत ( % of Marks obtained in Class

प का मा यम (Medium of Question Paper))# English 94.2
12thQualifying Examination)

मोबाइल नंबर (Mobile No.) 91xxxxxx4641 ईमेल पता (Email Address) yaxxxxxxxxxx@gamil.com

पर ा शहर के वक प (Choice of Examination City)

(1) VIJAYAWADA ( 1205) (2) GUNTUR ( 1201) (3) KURNOOL ( 1202) (4) HYDERABAD ( 4201)

DECLARATION: - I hereby affirm that all the particulars stated by me in the Application Form are true and correct. Even the spelling of names and category
are also correct. I have not concealed any information. However, if any information furnished herein is found fraudulent, incorrect or untrue, I will be liable for
criminal prosecution which will result in cancellation of my candidature. Further that the selection and admission to the course is liable to be cancelled. I agree
to abide by the Rules and Regulations governing the Examination as contained in the Information Bulletin for NEET (UG) - 2020 which I have gone through
carefully. I further declare that I have not submitted any other application for NEET (UG) -2020 and mobile number and email address given in the form are
correct and my own or of my parents.

Signature Left Hand Thumb Impression

Photo

Permanent address:

Address 9/150-32, PARVATHI NAGAR, NANDYAL ROAD

City S. MYDUKUR ,CUDDAPAH

State /Country Andhra Pradesh Pin Code 516172

Details of Transaction(SBI Bank).

Transaction ID.: CPX1050179 Total Amount: 1400 Date of Transaction: 17/12/2019

Card Type : VISA/Master Card

Application No: 200410263508 Printed On : 17/12/2019 12:24:09

Note : - Kindly check following details in Confirmation Page :

Candidate’s Name, Mother’s Name, Father’ s Name, Date of Birth, Gender, Category, PwD, Choice of Examination Cities and Medium of Question Paper. In case of any
discrepancy, these may please be corrected during 15th January, 2020 to 31st January, 2020. No corrections shall be allowed under any circumstances after this date.

https://ntaneet.nic.in/ntaneet/online/ConfirmationPage.aspx 1/2
12/17/2019 NEET- 2020: Confirmation Page for Application Number :200410263508

https://ntaneet.nic.in/ntaneet/online/ConfirmationPage.aspx 2/2