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    12 views3 pages

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    Uploaded by

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    7/27/23, 11:57 AM PrintView

    NEET UG Roll No.:4502080038

    Candidate's Personal Details

    Candidate's Name : DHRUV WALDIA


    Father's Name : SHAKTI PRADHAN WALDIA

    Mother's Name : SAVITRI DEVI

    Date of Birth : 17-02-2004

    Domicile of Uttarakhand : YES

    Gender : Male

    Category (As per NEET) : General

    Category (As per UR


    Uttarakhand) :

    Sub Category : Not Applicable


    Ward of Kashmiri NO
    migrants? :

    Candidate's Contact Details

    Mobile No. : 8279653016

    Correspondence Address : NEAR AYURVEDIC HOSPITAL, SHANTI VIHAR, LELU, WADDA, PITHORAGARH
    Pithoragarh Pithoragarh Uttarakhand 262521
    Permanent Address : NEAR AYURVEDIC HOSPITAL, SHANTI VIHAR, LELU, WADDA, PITHORAGARH
    Pithoragarh Pithoragarh Uttarakhand 262521
    Alternate Mobile No. : 8650482431

    Email ID : [email protected]

    Candidate's Qualifying (10 + 2) Examination Details

    Marks Details(Physics, Chemistry & Biology/Biotechnology)

    Physics(Inc. practical) Chemistry(Inc. practical) Biology/Biotechnology(Inc. practical)

    Total Marks Marks Obtained Total Marks Marks Obtained Total Marks Marks Obtained

    100 93 100 90 100 96

    Total Percentage (PCB) : 93%

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    7/27/23, 11:57 AM PrintView

    Qualifying exam(10 + 2) qualified with Physics, Chemistry, Biology/Biotechnology YES


    & English individually :
    State from which candidate has passed in qualifying exam(10 + 2) : Uttarakhand
    State from which candidate has passed high school exam : Uttarakhand

    College Type and Course Details

    Government Medical Colleges(MBBS)

    Security Deposit Fee Refund Details

    Do you want the security deposit amount to be refunded back through the same payment YES
    method used:

    NEET UG - 2023 Details

    NEET Roll Number NEET All India Rank Marks Obtained Max. Marks NEET Percentile

    4502080038 16015 625 720 99.20

    Online Counselling Preference Option

    Preference Specialization/College name


    Order
    1 Government Medical College, Haldwani(STATE QUOTA SEATS)
    2 Government Doon Medical College, Dehradun(STATE QUOTA SEATS)
    3 Veer Chandra Singh Garhwali Government Medical & Research Institute, Srinagar Garhwal(STATE QUOTA
    SEATS)
    4 Soban Singh Jeena Govt. Institute of Medical Sciences & Research, Almora(STATE QUOTA SEATS)

    Declaration by the Candidate


    1. I hereby declare that I have read and understood all the rules, terms & conditions, eligibility given in the information bulletin
    and whatever information I have mentioned in the online application form is true & correct and none of the fact has been
    concealed.

    2. I have read and understood all the rules, terms & conditions, eligibility given in the information bulletin and I am eligible for
    applying the said course /quota.

    3. I have read and understood all the rules, terms & conditions, eligibility given in the information bulletin and other
    information regarding participating colleges, their college wise/ quota wise seat distribution and fee in various link of the
    university website and I have filled up the choices accordingly.

    4. If there is any change in the rules, terms & conditions, eligibility given in the information bulletin by NTA, Hon’ble
    court/GOI/NMC/DCI/State Government/Counselling board then it will be acceptable to me.

    5. If any of the information given by me is found to be false or incorrect at any Stage, then my candidature will be summarily
    rejected and in this condition the decision taken by the university/Counselling board will be final & binding to me and I myself
    will be held responsible for this.

    6. I hereby declare that the information furnished above is true and I shall be responsible for any wrong information submitted
    to the University.

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    7/27/23, 11:57 AM PrintView

    7. I further authorize H.N.B.U.M.University to transfer the refund amount due(if any) as agreed above.

    8. I have read and understood that security fee, if not forfeited will be refunded after 1month of completion of MOP-UP Round
    of Counselling.

    9. I understand that, the latest information and procedure of counselling will be uploaded on University website on the basis of
    directions/ advisories received from Govt. of India, Medical counselling Committee, NMC, DCI, Govt. of Uttarakhand from time
    to time. The latest directions uploaded on the website by UKNEET–UG counselling board will only be applicable and will replace
    any such condition/term/rules mentioned in the information bulletin. The decision taken by UKNEET–UG counselling board
    related to procedure of counselling will be applicable at all time.

    10. OBC(NCL) cast certificate is valid for three years from the date of issue only.

    11. Benefit of OBC(NCL) category will be applicable to Non creamy layer candidates only. (Please check the Validity of
    certificate).

    12. BSF/CRPF/ITBP/Assam Rifles & other paramilitary forces are not eligible for DPW category as per state reservation policy.

    Name of the applicant : DHRUV WALDIA

    Dated : 27-07-2023(11:57AM)

    Signature of the Candidate

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