Deepak Aiims Regs. Form.pdf
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- Words: 279
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2/23/2019
mbbs.aiimsexams.org/RegistrationSlip?id=6jWoaoD2NNyP6X4S1Mv1XQ==
All India Institute of Medical Sciences Ansari Nagar, New Delhi - 110608 Entrance Examination - 2019 Application Form - AIIMS MBBS 2019
Candidate Profile
Registration ID: U5181038602
Payment ID: 20112464
Registration Unique Code: 8359031
Candidate Name: DEEPAK KUMAR JHA
Date of Birth: 01 Jan 1998
Gender: Male
Category: General
Father's Name: SHYAM CHANDRA JHA
Mother's Name: LALITA JHA
PWBD Status: No
PWBD Category: NA
Nationality: INDIAN
State of Domicile: BIHAR
Have you appeared at AIIMS MBBS Entrance Exam earlier: Yes
Year of appearance: 2018
Language in which Question paper is desired: English Contact Details Address for Permanent: RAJHATA, KALIBARI, BINODPUR, Katihar , BIHAR, India, 854105
Correspondence Address: RAJHATA, KALIBARI, BINODPUR, Katihar , BIHAR, India, 854105
Mobile No: 1. 7677042613 ,
E-Mail ID: [email protected]
2. Alternate-MobileNo 9798752863
Qualification Details Qualifying Exam
Qualifying Exam Status
Class 12 Roll no.
Exam Board Name
State Name
Senior School Certificate Exam (10+2)
Passed
7643589
CBSE
JHARKHAND
Academic Details Qualifying Exam Status
Scoring Scheme
Max Marks
Marks Obtained
Percentage(%)
Passed
Percentage
500.00
468.00
93.60
Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card) ID Proof: Aadhar Card
ID No: 609844325122
Place of Issue: India
Issue Date: NA
Valid Till: NA
Payment Details Mode: Online
Date: 23/02/2019
Transaction ID: 6103860275
Amount: 1500
Examination City Opted: Bhubaneswar 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
http://mbbs.aiimsexams.org/RegistrationSlip?id=6jWoaoD2NNyP6X4S1Mv1XQ==
Thumb of Candidate
1/1
mbbs.aiimsexams.org/RegistrationSlip?id=6jWoaoD2NNyP6X4S1Mv1XQ==
All India Institute of Medical Sciences Ansari Nagar, New Delhi - 110608 Entrance Examination - 2019 Application Form - AIIMS MBBS 2019
Candidate Profile
Registration ID: U5181038602
Payment ID: 20112464
Registration Unique Code: 8359031
Candidate Name: DEEPAK KUMAR JHA
Date of Birth: 01 Jan 1998
Gender: Male
Category: General
Father's Name: SHYAM CHANDRA JHA
Mother's Name: LALITA JHA
PWBD Status: No
PWBD Category: NA
Nationality: INDIAN
State of Domicile: BIHAR
Have you appeared at AIIMS MBBS Entrance Exam earlier: Yes
Year of appearance: 2018
Language in which Question paper is desired: English Contact Details Address for Permanent: RAJHATA, KALIBARI, BINODPUR, Katihar , BIHAR, India, 854105
Correspondence Address: RAJHATA, KALIBARI, BINODPUR, Katihar , BIHAR, India, 854105
Mobile No: 1. 7677042613 ,
E-Mail ID: [email protected]
2. Alternate-MobileNo 9798752863
Qualification Details Qualifying Exam
Qualifying Exam Status
Class 12 Roll no.
Exam Board Name
State Name
Senior School Certificate Exam (10+2)
Passed
7643589
CBSE
JHARKHAND
Academic Details Qualifying Exam Status
Scoring Scheme
Max Marks
Marks Obtained
Percentage(%)
Passed
Percentage
500.00
468.00
93.60
Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card) ID Proof: Aadhar Card
ID No: 609844325122
Place of Issue: India
Issue Date: NA
Valid Till: NA
Payment Details Mode: Online
Date: 23/02/2019
Transaction ID: 6103860275
Amount: 1500
Examination City Opted: Bhubaneswar 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
http://mbbs.aiimsexams.org/RegistrationSlip?id=6jWoaoD2NNyP6X4S1Mv1XQ==
Thumb of Candidate
1/1
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