Rajiv Gandhi University of Health Sciences, Karnataka

4th 'T' Block Jayanagar, Bengaluru-560041, India.

EXAMINATION APPLICATION FORM - JANUARY-2023

Eligibilty of the candidate should be checked by the Principal

Application Number: 20220333174 Applied Date : 15/12/2022 11:14:41 AM

Registration Number: 19M3410 Name of the RUDRESH K C

Student
Gender: Male Degree: MBBS4 - M.B.B.S.
(RS4)
College: M251-VIJAYANAGAR INSTITUTE OF MEDICAL SCIENCES
,BELLARY.
Name of the Father: SHIVAKUMAR K C Name of the K C PALLAVI
Mother:
Nationality: INDIAN

Applied Subject QPCode Subject Name Active

Exam:-PHASE - III PART-I MBBS (RS4)
MBBS4C01 FORENSIC MEDICINE AND TOXICOLOGY-PIA Y
MBBS4C01 FORENSIC MEDICINE AND TOXICOLOGY-PPR Y
MBBS4C01 FORENSIC MEDICINE AND TOXICOLOGY-PVV Y
MBBS4C01 FORENSIC MEDICINE AND TOXICOLOGY-TIA Y
MBBS4C01 1032 FORENSIC MEDICINE AND TOXICOLOGY-TP1 Y
MBBS4C02 OPHTHALMOLOGY-PIA Y
MBBS4C02 OPHTHALMOLOGY-PPR Y
MBBS4C02 OPHTHALMOLOGY-PVV Y
MBBS4C02 OPHTHALMOLOGY-TIA Y
MBBS4C02 1033 OPHTHALMOLOGY-TP1 Y
MBBS4C03 OTORHINOLARYNGOLOGY-PIA Y
MBBS4C03 OTORHINOLARYNGOLOGY-PPR Y
MBBS4C03 OTORHINOLARYNGOLOGY-PVV Y
MBBS4C03 OTORHINOLARYNGOLOGY-TIA Y
MBBS4C03 1034 OTORHINOLARYNGOLOGY-TP1 Y
MBBS4C04 COMMUNITY MEDICINE-PIA Y
MBBS4C04 COMMUNITY MEDICINE-PPR Y
MBBS4C04 COMMUNITY MEDICINE-PVV Y
MBBS4C04 COMMUNITY MEDICINE-TIA Y
MBBS4C04 1035 COMMUNITY MEDICINE-TP1 Y
MBBS4C04 1036 COMMUNITY MEDICINE-P2 Y

FEES DETAILS

Payment Mode: -

Total Fee: 4250

Payment Ref. No.: -

Application/Processing Fees--200.00,Exam/Subject Fees--3750.00,Marks Card Fee--300.00,

12/15/2022
 Signature of Student Signature of Principal with Seal

12/15/2022