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All India Institute of Medical Sciences: Candidate Profile Registration ID: P6161400086 Registration Date: 01/10/2020

This document is a basic registration form for Subarna Paudel to take the INI-CET exam for admission to various postgraduate medical programs including MD, MS, and MCh at AIIMS in New Delhi. It provides Subarna's personal details like name, date of birth, gender, nationality, identification marks, contact information, valid photo ID details, and includes an undertaking that the information provided is correct.

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Subarna Paudel
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216 views1 page

All India Institute of Medical Sciences: Candidate Profile Registration ID: P6161400086 Registration Date: 01/10/2020

This document is a basic registration form for Subarna Paudel to take the INI-CET exam for admission to various postgraduate medical programs including MD, MS, and MCh at AIIMS in New Delhi. It provides Subarna's personal details like name, date of birth, gender, nationality, identification marks, contact information, valid photo ID details, and includes an undertaking that the information provided is correct.

Uploaded by

Subarna Paudel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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10/1/2020 mdmsmch.aiimsexams.org/RegistrationSlip?

id=CuBkV9XYrjswM/6Dmg1KDQ==

All India Institute of Medical Sciences


Ansari Nagar, New Delhi - 110608

Basic Registration Form - Institute of National Importance Combined Entrance Test (INI-CET) for admission to PG courses [MD/MS/M.Ch.(6years)/DM(6years)/MDS]

Candidate Profile Registration ID: P6161400086 Registration Date: 01/10/2020

Candidate Name: SUBARNA PAUDEL

Date of Birth: 31 Dec 1991 Category: General

Gender: Male Marital Status: Unmarried

Father's Name: DEVI PRASAD PAUDEL Mother's Name: BIJAYA PAUDEL

PWBD Status: No PWBD Category: NA

Nationality: OTHER

Identification Mark(1): black mole on left cheek Identification Mark(2): black scalp hair

Contact Details

Address for Permanent: JANAKPATH, Rupandehi, , NEPAL, 329000 Correspondence Address: JANAKPATH, Rupandehi, , NEPAL, 329000

Mobile No: 1. 9847301359 , 2. Alternate-MobileNo 9847054256 E-Mail ID: subarnapaudel43@gmail.com

Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card)

ID Proof: Passport ID No: 10902826 Place of Issue: NEPAL Issue Date: 11/05/2018 Valid Till: 10/05/2028

UNDERTAKING/DECLARATION: I hereby declare that the information furnished by me in the Registration/Application Form is correct and nothing has been
concealed. In case any information furnished by me is found to be false/incorrect/untrue than i shall be liable to civil/criminal prosecution and my claim to
admission/appointment/registration/ service in the Institute may be cancelled/terminated.

Signature of Candidate
Thumb of Candidate

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