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    Confirmation Letter - PRIYA SHARMA

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    Priyanshu Sharma
    This document is a confirmation page for Priya Sharma's application to the National Eligibility Cum Entrance Test (UG) in 2019, providing her application number, personal details, class 12 exam information, chosen exam city, and transaction details for the application fee payment. Priya declared that the information provided is true and agreed to abide by the exam rules.

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    Confirmation Letter - PRIYA SHARMA

    Uploaded by

    Priyanshu Sharma
    58 views1 page
    This document is a confirmation page for Priya Sharma's application to the National Eligibility Cum Entrance Test (UG) in 2019, providing her application number, personal details, class 12 exam information, chosen exam city, and transaction details for the application fee payment. Priya declared that the information provided is true and agreed to abide by the exam rules.

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    Confirmation Letter_PRIYA SHARMA

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    This document is a confirmation page for Priya Sharma's application to the National Eligibility Cum Entrance Test (UG) in 2019, providing her application number, personal details, class 12 exam information, chosen exam city, and transaction details for the application fee payment. Priya declared that the information provided is true and agreed to abide by the exam rules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    58 views1 page

    Confirmation Letter - PRIYA SHARMA

    Uploaded by

    Priyanshu Sharma
    This document is a confirmation page for Priya Sharma's application to the National Eligibility Cum Entrance Test (UG) in 2019, providing her application number, personal details, class 12 exam information, chosen exam city, and transaction details for the application fee payment. Priya declared that the information provided is true and agreed to abide by the exam rules.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 1

    NATIONAL ELIGIBILITY CUM ENTRANCE TEST (UG)

    CONFIRMATION PAGE - NEET(UG)-2019


    You have successfully submitted On-line Application. Please preserve this pagealong withproof of fee payment for future
    reference.
    Application No. : 190410266215

    Candidate's Name PRIYA SHARMA Date of Birth 10/07/2001


    Mother's Name KUSUM DEVI Gender Female
    Father's Name MAHESHWARI Category OBC (NCL)
    VISHWAKARMA
    Year of Passing/Appearing Class 2018 Person with Disability: No
    XII
    State/Country to which Applicant Uttar Pradesh Nationality Indian
    belongs
    Question Paper Medium English Class XII Marks(%) 93.6
    Mobile No. 91xxxxxx4521 Email Id prxxxxxxxxxxxxxxx@g
    mail.com
    Choice of Exam Cities
    VARANASI ( 4411) ALLAHABAD/PRAYAG LUCKNOW ( 4408) KANPUR ( 4407)
    RAJ ( 4402)

    DECLARATION :- I hereby solemnly and sincerely 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
    including information about previous attempts in AIPMT/NEET. However, if any information furnished herein is found
    fraudulent, incorrect or untrue, I understand that I will be liable for criminal prosecution which will result incancellation 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, 2019 which I have
    gone through carefully. I further declare that I have not submitted any other application for NEET, 2019 and mobile no
    and email address given in the form are correct and my own or of my parents.

    Photo Signature
    Complete Mailing Address
    Address HASIMPUR, PANDEYPUR, NEAR GHANSHYAM P G COLLEGE
    City VARANASI ,VARANASI
    State/Country Uttar Pradesh Pin Code 221002
    Details of Transaction(SBI Bank)
    Transaction ID.: CPK7563208 Total Amount: 1400 Date of Transaction: 11/7/2018 1:38:37 PM
    Card Type: VISA/Master Card
    Application No: 190410266215 Printed On : 07/11/2018 01:38:45
    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 14th January, 2019 to
    31st January, 2019. No corrections shall be allowed under any circumstances after this date.

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