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Thanks for submitting your Application

Form300020which can be used for all future


correspondence
Amount: 2450
Payment Transaction No: 112782784481

Examination Form

Personal Details

Student's Name : RUTURAJ BHAGWAT THETE

Student's Hall Ticket No. : 2101031119

Exam Type : Regular

College Name : MAMATA ACADEMY OF MEDICAL SCIENCES

Course Name : MBBS

Subject Details

Sr. No. Subject Name

1. BIOCHEMISTRY

2. HUMAN ANATOMY

3. PHYSIOLOGY

Fee Details

Exam Fee (in Rupees) : 1800

Marks Memo (in Rupees) : 300

Processing Fee (in Rupees) : 350

Total Fee (in Rupees) : 2450

Payment Date : 01/02/2023

Payment Mode : Debit Card

Payment Status : S

Declaration By Student

I declare the information provided by me is true in all respect and in case any information found to be false, my admission would stand
cancelled automatically.

Version 15.00.01

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