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Guru Gobind Singh Indraprastha University, Delhi

GGSIPU Bachelor of Medicine & Bachelor of Surgery (MBBS) 2021 [CODE-103]

Personal Details
Application No. 103212700496 Candidate Name ABHAY KUMAR SAH
Father Name BAIRRISTER SAH Mother Name KEWAL DEVI
Gender MALE DOB 21-11-2000
Region from where DELHI (NCT) Category SCHEDULE TRIBE (ST)
Qualifying Exam has
passed or appeared as per
the Eligibility Criteria
mentioned in Admission
Brochure
Sub Category List
Physically handicapped No
Defence Personnel No
Wards of J&K Migrants No
Army Personnel No
Sikh Minority No
Muslim Minority No
Jain Minority No
Christian Minority No
Other Details
Visible Mark of Identification of Candidate MOLE ON SHOULDER
Qualification Details
(Qualifying Exam Details as per Eligibility Criteria) Marks Details
Passing Status Passed
Passing Year 2018
Board /University CENTRAL BOARD OF SECONDARY EDUCATION
Result Mode Percentage
Maximum Marks 400
Obtained Marks 246
Percentage Marks 61.5
Contact Details
Correspondence Address
Premise No./Name 134/11, SECTOR-1,
Sub Locality/Colony(Optional) PUSHP VIHAR,
Locality/City/Town/Village NEW DELHI
Country India
State Delhi (NCT)
District SOUTH DELHI
Pin Code 110017
Mobile Number 960****980
Email Id abh*********************com
Permanent Address
Premise No./Name 134/11, SECTOR-1,
Sub Locality/Colony(Optional) PUSHP VIHAR,
Locality/City/Town/Village NEW DELHI
Country India
State Delhi (NCT)
District SOUTH DELHI
Pin Code 110017
Fee Payment Details
Registration Fee
Transaction Number Transaction Amount Transaction Date
7305000329033 1200 01/07/2021 18:12:58
Registration Details
Activity Date & Time IP Address
Registration Form Submission Jul 1 2021 5:36PM 157.37.165.43
Application Form Submission Jul 1 2021 6:09PM 157.37.165.43
Uploded Documents
Signature
DOB Certificate/ 10th Passing Certificate
ST Category Certificate
Declaration

Printed On 7/1/2021 6:14:54 PM Page No. 1


Guru Gobind Singh Indraprastha University, Delhi
GGSIPU Bachelor of Medicine & Bachelor of Surgery (MBBS) 2021 [CODE-103]

I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief. Any mistake / misinformation, detected at
the time of admission or at any stage in future, will result in the cancellation of admission. I have read the information bulletin and understood all the
procedures.

I hereby agree to the following terms and conditions governing the admission process of Counselling Board:

1. I have gone through and understood the contents of Information Brochure and eligibility criteria prescribed therein. I shall abide by rules and admission
process of Seat Allotment as specified by the GGSIPU.
2. I know that during verification of documents at the time of reporting, if any discrepancy is found in original documents, including category, sub-category,
date of birth etc. then my allotted seat will be cancelled.
3. I know that the personal information provided by me is genuine and authentic.
4. I declare that I will not disclose or share the password with anybody. I understand that I am solely responsible for safe guarding my password and
neither GGSIPU nor NIC is responsible for misuse of my password.
5. I am aware of the fee, bond etc conditions of the Institution that I am interested in and know that GGSIPU has no role to play in that.

Signature of Candidate
(ABHAY KUMAR SAH)

Printed On 7/1/2021 6:14:54 PM Page No. 2

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