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NOTE : Your Application has submitted Successfully.Payment is done.

Applicant Details

Personal Details

Application Sequence No
IPU165086

Candidate's Full Name

O S NEETU

Father's Name Mother's Name

K OMANAKUTTAN PILLAI SHAILAJA PILLAI

Marital Status Nationality

Unmarried Indian

Religion Aadhar Number

Hindu 396688842395

Visible Identification Mark

MOLE ON LEFT LOWER EYEBROW

Program Applied Details

Course Group Course Name

Non CET UG Bachelor of Ayurveda Medicine and

Surgery

CET Code Category

153 UR

Gender Date of Birth (DD-MM-YYYY) same as Matriculation/

Secondary Certificate
Female
02/Mar/2000

Age as on 01.08.2020

20 Years 4 Months 30 Days

Are you Physically Handicapped (PH) (degree of

disability 40% or above)?
No

Are you eligible for Army Quota? Are you a dependent of Defence background?

No No

Region/State from where last qualifying exam passed? Were you originally domiciled in the state of Jammu
and Kashmir?
Outside Delhi
No

Contact Details

Mobile Number Email ID

7909977429 osneetu94255@gmail.com

Present Address
 Address Line 1

SAI VIHAR COLONY

Address Line 2

ROHNIPURAM, DANGANIYA

State

Chhattisgarh

Country

India

City District

RAIPUR Raipur

Pin Code

492001

Permanent Address

Address Line 1

SAI VIHAR COLONY

Address Line 2

ROHNIPURAM, DANGANIYA

State

Chhattisgarh

Country

India
 City District

RAIPUR Raipur

Pin Code

492001

Matriculation (10th) Details

Name of the Board/Council/University

CG BOARD RAIPUR

Name of the Institute/School

ADARSH VIDYALAYA ENGLISH MEDIUM H S SCHOOL DEVENDRA NAGAR RAIPUR

Subject

10TH ALL

Year Of Passing Percentage of Marks

2016 74.16

Intermediate (12th) Details

Qualification type

12th/Senior Secondary

Status of Examination

Passed

Name of the Board/Council/University

CBSE
 Name of the Institute/School

HOLY CROSS H S SCHOOL BYRON BAZAR RAIPUR

Subject

PHYSICS CHEMISTRY BIOLOGY

Year Of Passing Percentage of Marks

2018 70

NEET 2020 Details

NEET Registration Number NEET Application Number

200410634107 200410634107

Essential Experience Details

Have you passed in the subject of Physics, Chemistry,Biology and English (Core or Elective or Functional)
individually and have obtained a minimum of 50% marks (40% for OBC/SC /ST)together in Physics,Chemistry,
Biology and English

Yes

Declaration

I declare that the qualification details submitted by me are true to the best of my
knowldege.Any deviation found at later stage will lead to cancellation of my candidature to
the applied course

Payment Details

Amount to be Paid Payment Status

1200 Successful
 Payment Transaction No.

SSM28819844755

Candidate Documents/Images Upload Details

Photo

Signature

Declaration

I hereby, solemnly declare that information provided by me in the form is true to the best of my
knowledge and belief and that I have not concealed any information affecting my
eligibility/candidature to apply.I understand that my candidature is subject to the conditions laid
down in the adverisement. I further declare that I am not involved in any criminal case and/or no
such case is pending against me in any court of law.In case any of the above information is found
false or wrong my candidature shall be cancelled.

Version 13.08.02