NEET – SS 2019

Personal Details
Application Seq Number 44003758

Candidate’s Name KOLLOJU VINEEL

Father’s Name k damodara chary

Mother’s Name varalaxmi

Nationality Indian

Other Nationality Country Other Nationality

Gender Male Date of Birth 28/Aug/1987

Contact Details
Mobile Number 9989732773

Alternate Mobile Number 9160677585

Email ID vineelmbbs@gmail.com

Correspondence Address
Address Line 1 h no 2-2-647/138,2nd floor,swathi apartments

Address Line 2 baghamberpet

Country India Country Details

State TELANGANA Pin Code 500013

City Hyderabad Other City

Post Graduate Qualification Details
Type of PG Qualification Country of completion of India
MS Post Graduate
Qualification
Other Country of completion of Post Graduate Qualification Course
State TELANGANA City Hyderabad

University of Completion NTR UNIVERSITY OF HEALTH SCIENCES, VIJAYWADA

University Name
Name of College OSMANIA MEDICAL COLLEGE, HYDERABAD

Name of Other College

Name of Speciality MS/DNB GENERAL SURGERY

Date of joining 01/08/2013

Date of Qualifying PG
31/07/2016
Qualification
Qualification Details
UROLOGY(GENITO-URINARY SURGERY)
Super Speciality Program
Super Speciality Program HEPATO PANCREATO BILIARY SURGERY/SURGICAL GASTROENTEROLOGY(G.I. SURGERY)

MCI/SMC Registration
71241
Number
Medical Council Telangana Medical Council

Additional Qualification ( If any )

Name of the course
Country of completion of
Course
Other Country of completion
of Additional Qualification
Course
State of Completion City of Completion
University of Completion
University Name
Name of College
Name of Other College
Name of Speciality
Date of joining Date of
Completion
Additional Information
Deported/Rusticated during
No
Medical Course
Details of
Deportation/Rustication
Charged of use of unfair
means by NBE/Other No
examination body
Details of Charges
Appeared in any exam
conducted by NBE
Exam Name
Previous Roll No.
Year of appearing
Test Center Details
State Telangana City Hyderabad

Payment Details
Amount 3750
Payment Transaction No QHMP7525711831

Payment Status S

Declaration

NEET SS is a proprietary examination and is conducted by National Board of Examinations. The contents of this
exam are confidential, proprietary and are owned by National Board of Examinations. NBE explicitly prohibits the
candidate from publishing, reproducing or transmitting any or some contents of this exam, in whole or in part, in any
form or by any means verbal or written, electronic or mechanical or for any purpose. No content of this exam must be
shared with friends, acquaintances or third parties including sharing through online means or via social media. Social
media includes but not limited to SMS, Whatsapp, Facebook, Twitter, Hangouts, Blogs etc using either one’s own
account or proxy account(s). By registering for and /or appearing in NEET SS the candidate explicitly agrees to the
above Non Disclosure Agreement and general terms of use for NEET SS as contained in this Information Bulletin, and
NEET SS website. Violation of any act or breach of the same shall be liable for penal action and cancellation of the
candidature at the bare threshold

I certify that I fulfill the eligibility requirements for NEET SS and have furnished complete and correct information.
I understand that any instances of furnishing incorrect information detected at any stage of the selection process will
automatically disqualify me from the selection process and I will not be allowed appear for NEET SS in future.
Similarly, if such instances go undetected during the current selection process but, are detected in subsequent years,
such disqualification will take place with retrospective effect.
I also understand that provision of incomplete information will automatically disqualify me from the selection process.
I have read the information bulletin and do hereby undertake that I will not indulge in any unfair means/practice for
NEET SS
I understand that the decision of NBE shall be final and binding upon me.
Any dispute concerning NEET SS would be subject to Jurisdiction of the Competent Courts exclusively at Delhi/New
Delhi only.
I will comply with the Non Disclosure Agreement as indicated in the information bulletin.