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Personal Details

Application Seq No PDCET22001961

Applicant Name ANIRUDH SINGH

Applicant DOB(dd/MMM/yyyy) 13/Aug/1985

Gender MALE

Nationality INDIAN

Mobile No 9461758085

Alternate Mobile No 9414464281

Email Id SINGHANIRUDH650@GMAIL.COM

Fathers Name SAYAR SINGH

Mothers Name SUSHIL KANWAR

Religion HINDU

Category GENERAL

EWS Status NO

Physically Challenged NO

Country INDIA

Correspondence Address H NO 551 , MOHAN NAGAR SECTOR- B

Address Line 2 B J S COLONY, JODHPUR

State RAJASTHAN

City JODHPUR

Pin Code 342001

Driving License Validity 14/02/2032

Do you have Govt of Ind issued VOTER ID NO

Do you have Govt of Ind issued PAN CARD YES

Do you have Govt of Ind issued DRIVING LICENSE YES


Do you have Govt of Ind issued PASSPORT NO

Government of Inida Issued DRIVING LICENSE Number RJ16DLC12440864

Government of India Issued PAN CARD Number EWCPS6015R

MARK OF IDENTIFICATION 1 SCR MARK ON RIGHT HAND

MARK OF IDENTIFICATION 2 NO MARK

Are you a Non Resident Indian (NRI) ? No

Qualification Details

MBBS Country INDIA

State of MBBS Completion KARNATAKA

MBBS City DAVANAGERE

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,


MBBS University of Completion
KARNATAKA

Other PG College COLLEGE OF PHYSICANS AND SURGEONS OF MUMBAI

Additional Year Of Passing 02/2021

MBBS Institute Name JJM MEDICAL COLLEGE, DAVANGERE

Is your PG Diploma Qualification recoginzed as per provision


Yes
of IMC Act

MBBS Year Of Passing 03/2012

Is your PG Diploma Qualification recoginzed PG Diploma


Yes
registered with medical council (MCI/SMC)

MCI/SMC REGISTRATION NUMBER 21 002567

Medical Council NATIONAL MEDICAL COMMISSION

Deported/Rusticated during medical course No

Charged of use of unfair means by NBE/Other examination


No
body

Test Center Details

Prefered State 1 RAJASTHAN

TestCity JAIPUR

Payment Details 5000

Online payment transaction ID 2645432806538

Payment Status S

Amounts in the form 5000_5000


2022-09-27 22:54:16

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