ATAL MEDICAL AND RESEARCH UNIVERSITY HIMACHAL PRADESH

Atal Medical And Research University Himachal Pradesh

Mandi at Ner Chowk, H.P. -175008

MBBS/BDS Session 2023-24

Form No. 23011150

Personal Information
Applicant Full Name ABHINAV SHARMA Father Name SUNIL DUTT SHARMA
DOB Jun 29,2004 (Age: 19) Gender MALE
Email Id abhinavsharma31180@ Mother's Name MAMTA DEVI
gmail.com
State of Domicile HIMACHAL PRADESH Applicant Registered 7807820782
Mobile Number
Religion HINDU Admission Quota HP Quota
Type:
Category: GENERAL Aadhar No.: 837109408289
Are you a Student of Are you child of Bonafide Himachali / Bonafide/Domicile of Himachal? ? Yes
Are you NRI No
Are you NRI Sponsored No
Address Details
Residence Address VILLAGE BHADOT PO TURAN TEHSIL JUBBAL DISTRICT SHIMLA HP
Country INDIA State HIMACHAL PRADESH
City Pin 171216
SHIMLA
Tehsil District SHIMLA
JUBBAL
Village JUBBAL Post Office TURAN
Permanent Address VILLAGE BHADOT PO TURAN TEHSIL JUBBAL DISTRICT SHIMLA HP
Country INDIA State HIMACHAL PRADESH
City Pin 171216
SHIMLA
Tehsil District SHIMLA
JUBBAL
Village JUBBAL Post Office TURAN
Applicant Other Details
Programme Applied For
Sr. No. Program Name Application No. Quota Category
1 MBBS and BDS 2102228 HP Quota General
2 MBBS and BDS 23011150 HP Quota General
Std.XII
Year of Passing 2021 Stream SCIENCE
Board of Examination HP Board of School Education Group Specialization
Total Marks Obtained / 493 / 500 Percentage ( % ) 98.6
Out of
Subject Total Marks Obtained / Subject Total Marks Obtained /
Out of Out of
Physics 99 / 100 Chemistry 99 / 100
Biology 99 / 100 English 99 / 100
PCM Percentage (%) : 0 PCB Percentage (%) : 99
Entrance Details / Apply on The Basis of
1. Entrance Exam NEET-UG-2023
Application Id 230411008456 Roll No. 2402070046
All India Merit Rank 48083
NEET Score 571
Form Fee Details
Sr. No. Application No. Program Name Payment Mode Transaction No. Amount
1 2102228 MBBS and BDS OnlinePayment 7D5DSHSZCXN 2000.0
FI8N
2 23011150 MBBS and BDS OnlinePayment BZEKNTSWUDA 2000.0
TWMM
Documents attached
1 NEET Rank Card
2 Photo Id
3 Proof of DOB
4 Proof of Address
5 10th Certificate
6 12th Certificate
7 Proof of Domicile Certificate
8 Aadhar Card
9 Other Relevant Documents
Declaration to be signed by the Applicant:
I Abhinav Sharma Certified that particulars furnished by me, as above are correct. in case any of them are found false, my
candidature is liable to be cancelled.

Place :

Date : Jul 24, 2023 08:07 PM

Signature of Candidate