379724, 8:15 PM ‘ugeaurses alimsexams.ac.inRegistrat
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All India Institute of Medical Sciences
‘Ansari Nagar, New Delhi - 110508
AlIMS Undergraduate Basle Relsvaton Form
Candidate Profile. Registration 1D: U5352241828 Basie Registration Date: 0903/2024
Candidate Name: AYUSHI BISHT Dat of Bith: 28 Apr 2008
‘Gonder: Female Category: General
Father's Name: RAKESH SINGH BISHT Mother's Name: POONAM BISHT
PWBD Status: No PWD Category: NA
Nationality: INDIAN State of Domicile: UTTARAKHAND
Contact Details
[Addross for Permanent: Correspondence Address:
‘GOVT QRT NO, 48 TYPE 3, NORTH WEST MOTI BAGH, NEW GOVT QRT NO, 48 TYPE 3, NORTH WEST MOT! BAGH, NEW DELHI, Moti
DELHI, Moti Bagh , South West Delhi, DELHI, India, 110021 Bagh , South West Delhi, DELHI, Inda, 110021,
Mobile No: 1.9911261267, 2. Altemate-MobileNo E-Mall ID: RAKESHT@BISHT@GMAIL.COM
13595714345
Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card)
ID Proot: Aadhar Cara ID No: 352697259265 Place of Issue: INDIA Issue Date: 04/11/2011 ‘Valid Ti: NA
LUNDERTAKINGIDECLARATION: | hereby declare that hs infomation furnished by mein the Regstraton/Applicaton Fom i corect and nothing has been
Concealed. Incase any information fumished by me Is fund tobe flsoinearruntrve tan | shal be ible o cvllrminal prosecution and my dim to
dmissionappoinimentregisvato sence inthe Insitste may be cancaledeminate.
Signature of Candida
‘anata ‘e Thumb of Candicate
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