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Applicatio n
Ro ll Numbe r: 1501060028 240411408627
Numbe r:
C andidate 's Name : NIT ISH KUMAR Fathe r's Name : YAMUNA KUMAR
Ge nde r: MALE Date o f Birth: 18-06-2007
OBC-(NCL) AS PER
C ate go ry: State o f Eligibility: BIHAR
CENT RAL LIST
Pe rso n with Disability
NO Scribe re quire d*: NA
(PwD)*:
Type o f Disability: NA
1501060028
Test Details
Que stio n Pape r Me dium ENGLISH
Date o f Examinatio n 05.05.2024 (Sunday)
Re po rting/Entry Time at C e ntre 11:00 AM
Gate C lo sing Time o f C e ntre 01:30 PM
Timing o f Te st 02.00 PM to 05.20 PM (Indian Standard T ime)
Te st C e ntre No 150106
Te st C e ntre Name MODERN ACADEMY ASHOK NGR CHAROVA GAYA BIHAR
Te st C e ntre Addre ss (Ve nue o f MODERN ACADEMY ASHOK NAGAR CHAROVA PO - AIRPORT GAYA BIHAR , BIHAR ,
Te st) GAYA (823004)
Candidate’s Photo (Same as uploaded on the Candidate’s Signature (To be signed on the Day
Candidate’s left-hand thumb Impression (To be
Application Form to be affixed before reaching of Examination in the presence of the Invigilator
affixed before reaching the Centre)
the Centre) only)
The abo ve undertaking has to be filled up in advance befo re reaching the Centre, except fo r the candidate’s signature which has to be affixed in
the presence o f the Inv igilato r.
* D is cla im e r: Th e e lig ib ility in th e e xa m in a tio n u n d e r th e ca te g o ry " P e rs o n s with D is a b ility" is p u re ly p ro vis io n a l to a p p e a r in th e e xa m in a tio n a n d
d o e s n o t g u a ra n te e a s e a t to th e ca n d id a te u n d e r th e re s p e ctive ca te g o ry. Th e ca n d id a tu re fo r a d m is s io n to MBBS p ro g ra m u n d e r P wD ca te g o ry
u n d e r va rio u s co lle g e s will b e g o ve rn e d a s p e r re le va n t NMC g u id e lin e s wh ich a re g ive n u n d e r Ap p e n d ix-H1 o f G u id e lin e s re g a rd in g a d m is s io n o f
s tu d e n ts with "s p e cifie d d is a b ilitie s ' ' u n d e r th e Rig h t o f P e rs o n s with D is a b ilitie s Act, 2016 with re s p e ct to a d m is s io n in MBBS co u rs e d u rin g p o s t-
e xa m in a tio n a n d co u n s e llin g p ro ce s s is s u e d o n 01.08.2023. ( P le a s e re fe r In fo rm a tio n Bu lle tin )
Application Number : 240411408627 IP Address:223.176.61.118 Date and Time: 04-05-2024 17:48:26 [Page 1 of 3]
Ple ase paste a Po stcard Size (4’’ x 6’’) co lo ur Pho to graph he re be fo re re aching the
C e ntre . (The C andidate and the Invigilato r are to sign acro ss the pho to graph as
indicate d in the instructio ns be lo w.)
Application Number : 240411408627 IP Address:223.176.61.118 Date and Time: 04-05-2024 17:48:26 [Page 2 of 3]
Application Number : 240411408627 IP Address:223.176.61.118 Date and Time: 04-05-2024 17:48:26 [ Page 3 of 3]