National Eligibility c um Entranc e Test
NEET (UG) - 2024
                                                                                Application
  Roll Number:                                 1703110202                                                        240411706470
                                                                                Number:
  Candidate's Name:                            DEEPTI SA HU                     Father's Name :                  PRATA P SA HU
  Gender:                                      FEMA LE                          Date of Birth:                   24-10-2004
                                               OBC-(NCL) A S PER
  Category:                                                                     State of Eligibility:            CHHATTISGA RH
                                               CENTRA L LIST
  Person with Disability
                                               NO                               Scribe required*:                NA
  (PwD)*:
  Type of Disability:                          NA
                        1703110202
                                                                                  Test Details
  Question Paper Medium                                   HINDI
  Date of Examination                                     05.05.2024 (Sunday)
  Reporting/Entry Time at Centre                          11:00 A M
  Gate Closing Time of Centre                             01:30 PM
  Timing of Test                                          02.00 PM to 05.20 PM (Indian Standard Time)
  Test Centre No                                          170311
  Test Centre Name                                        A DA RSH VIDYA LAYA
  Test Centre Address (Venue of                           A DA RSH VIDYA LAYA . NEA R JUBESTA HOSPITA L, SECTOR-1, DEVENDRA NA GA R,
  Test)                                                   RA IPUR , CHHATTISGA RH , RA IPUR (492001)
                                                                         Senior Director (NTA)
                                                                   SELF DECLARATION (UNDERTAKING)
   I, -----------------------------------------------, resident of---------------------------------------------,do hereby, declare the following:
1. I have read the Instructions, Guidelines, Information Bulletin, Instructions, and Notices related to this examination available on
the website https://exams.nta.ac.in/NEET/ and www.nta.ac.in
2. I have read the detailed “IMPORTA NT INSTRUCTIONS FOR CA NDIDATES” as given on Page-3 and I undertake to abide by the
same.
     Candidate’s Photo (Same as uploaded on the                                                                                Candidate’s Signature (To be s igned on the Day
                                                                 Candidate’s left-hand thumb Impres s ion (To be
    Application Form to be affixed before reaching                                                                             of Examination in the pres ence of the Invigilator
                                                                       affixed before reaching the Centre)
                     the Centre)                                                                                                                    only)
The above undertaking has to be filled up in advance before reaching the Centre, except for the candidate’s signature which has to be affixed in the
presence of the Invigilator.
* Dis cla imer : The elig ibility in the exa mina tion und er the ca teg or y "Per s ons with Dis a bility" is purely provis iona l to a ppea r in the exa mina tion a nd d oes not
g ua ra ntee a s ea t to the ca nd id a te und er the res pective ca teg or y. The ca nd id a ture for a d mis s ion to M BBS prog ra m und er PwD ca teg or y und er va r ious colleg es
will be g over ned a s per releva nt NM C g uid elines which a re g iven und er Append ix-H1 of G uid elines reg a rd ing a d mis s ion of s tud ents with "s pecified d is a bilities
'' und er the Rig ht of Per s ons with Dis a bilities Act, 2016 with res pect to a d mis s ion in M BBS cour s e d ur ing pos t-exa mina tion a nd couns elling proces s is s ued on
01.08.2023. ( Plea s e refer Infor ma tion Bulletin)
  Application N umber : 240411706470                   IP Addres s :152.58.27.89             Date and T ime:      03-05-2024 11:09:39            [Page 1 of 3]
                                                        National Eligibility c um Entranc e Test
                                                                        NEET (UG) - 2024
                              Please paste a Postcard Size (4’’ x 6’’) colour Photograph here before reaching the
                          Centre. (The Candidate and the Invigilator are to sign across the photograph as indicated
                                                                        in the instructions below.)
  Date of Examination:                          05.05.2024 (Sunday)                          Timing:                                 02.00 PM to 05.20 PM (IST)
  Roll Number:                                  1703110202                                   Application Number:                     240411706470
  Candidate Name:                               DEEPTI SAHU                                  Father’s Name:                          PRATAP SAHU
                                                                                             Candidate Signature (To be signed on the Day of
  Signature of Invigilator
                                                                                             Examination, in the presence of the Invigilator only)
  INSTRUCTIONS FOR CANDIDATES:
a) T he Candidate is to pas te the lates t colored pos tcard s iz e (4" x 6") photograph of his /her own in the des ignated s pace.
b) Invigilator s hall ens ure that the photograph and s ignature on this page match with the photograph and s ignature of the Candidate on Page 1 of Admit
Card.
c) T he Candidate is to s ign acros s the photograph on the left s ide.
d) T he Invigilator s hould s ign acros s the photograph of the candidate on the right s ide.
e) It is mandatory for the candidate to bring this page of the Admit Card with a pas ted photograph. If he/s he does n't bring this , then he/s he will not be
allowed to s it in the examination, and this s hall lead to his /her dis qualification.
Application N umber : 240411706470               IP Addres s :152.58.27.89           Date and T ime:    03-05-2024 11:09:39           [Page 2 of 3]
                                                  National Eligibility c um Entranc e Test
                                                                 NEET (UG) - 2024
                                           IMPORTANT INSTRUCTIONS FOR CANDIDATES
 1. The candidate must reach the Centre at the time indicated against Reporting/Entry time at the Centre in the A dmit Card.
 2. No candidate shall be permitted to enter the Centre after the Gate Closing- Time.
 3. No candidate shall be permitted to leave the Examination Room/Hall before the end of the examination.
 4. On completion of the examination, please wait for instructions from Invigilator and do not get up from your seat until advised.
    The candidates will be permitted to move out one at a time only.
 5. A ll candidates are required to download and carefully read the Instructions given with the A dmit Card and strictly adhere to
    them.
 6. This A dmit Card consists of three pages- Page 1 contains the Centre details and Self Declaration (Undertaking) form Page
    2 has a “Postcard Size Photograph” and “Page 3 has “Important instructions for Candidates”. The candidate must
    download all three pages.
 7. The A dmit Card is provisional, subject to satisfying the eligibility conditions as given in the Information Bulletin.
 8. Candidates are advised to verify the location of the examination venue, a day in advance so that they do not face any problem
    on the day of examination.If religion/customs require you to wear specific attire, please visit the Centre early for thorough
    checking.
 9. No Candidate would be allowed to enter the Examination Centre, without A dmit Card, Valid ID Proof, and proper frisking.
    Frisking will be carried out through Handheld Metal Detector (HHMD).
10. Candidates will be permitted to carry only the following items with them into the examination venue:
         a. Personal transparent water bottle.
         b. A dditional photograph same as uploaded on A pplication Form, to be pasted on A ttendance Sheet.
         c. A dmit Card along with Self Declaration (Undertaking) having Postcard size photograph affixed on the designated space
             (page 2) downloaded from the NTA website (a clear printout on A 4 size paper) duly filled in.
         d. Before reaching the Centre, the candidates must enter the required details in the Undertaking in legible handwriting.
          e. PwD Certificate and Scribe-related documents, if applicable.
11. Candidate should put their signature and paste the Photograph at the appropriate place. They should ensure that their Left-
    Hand Thumb Impression is clear and not smudged.
12. Candidate must carry valid Identity proof, preferably, Aadhaar Card (with photograph)/ E-Aadhaar/Ration Card/ Aadhaar
    Enrolment No. with Photo to the center. However, other valid Identity proof issued by the government – PA N card/ Driving
    License/ Voter ID/ 12th Class Board A dmit or Registration card/ Passport/ Original School Identity card with Photo will also
    be considered ONLY in case of non-availability. A ll other ID/Photocopies of IDs even if attested/scanned photo of IDs in mobile
    phone will NOT be considered valid ID Proof.
13. The PwD candidates must bring a PwD Certificate issued by the Competent A uthority if claiming relaxation under the PwD
    category. The Scribe will be provided by National Testing A gency only if requested in the online A pplication Form of NEET (UG)
    – 2024. The facility of a Scribe will be provided, in case he/she has a physical limitation, and a scribe is essential to write the
    examination on his/her behalf, being so certified in the authorised format as per RPwD Act,2016 given by a CMO/Civil
    Surgeon/ Medical Superintendent of a Government Health Care Institution. Compensatory time of one hour and five minutes
    will be provided for the examination of three hours & 20 minutes (03:20 hrs) duration, whether such candidate (having a
    physical limitation to write) uses the facility of Scribe or not.
14. Candidates are NOT allowed to carry any personal belongings including electronic devices, mobile phones, and other banned/
    prohibited items listed in the Information Bulletin to the Examination Centre. Examination Officials will not be responsible for
    the safe keep of personal belongings and there will be no facility at the center.
15. Blank paper sheets for rough work will NOT be provided in the examination Hall/Room. Rough work is to be done in the
    space provided for this purpose in the Test Booklet only. Failure to do so may result in the non-evaluation of your answer.
16. No Candidate should adopt any unfair means or indulge in any unfair examination practices as the examination Centres are
    under surveillance of CCTV and equipped with Jammers.
17. On completion of the test, candidates must hand over the OMR Sheet ( both Original and Office Copy) and take away only the
    Test Booklet with them. It will be the responsibility of the candidate also to ensure that the OMR sheet submitted by him/her
    carries his/her signature as well as the Signature of the Invigilator at the pre-determined spaces.
18. No Bio-breaks will be allowed during first one hour after beginning of the exam and last half an hour of the exam.
19. A part From the biometric attendance and frisking at entry, candidates will be frisked and biometric attendance will be taken
    again on entry from bio-break/toilets break.
20. Candidates are advised NOT to indulge in use of Un-Fair Means, impersonation etc. Candidates found using Un-Fair Means
    are liable for strict action including debarment from appearing in all the examinations conducted by NTA .
21. Important Advisories to candidate:
        a. NTA uses A I based real time analytical tools & technologies to map likely/potential use of unfair means /cheating
           behavior by candidates at all centres, both during and post exams.
        b. CCTV recordings are analyzed using A I technologies to confirm malpractice with evidence.
        c. NTA catches the likely cheaters through A rtificial Intelligence-based tool.
        d. Suspicious candidates are identified through A I-based tools, even after the examination.
        e. Examination centers are continuously monitored through artificial intelligence-enabled systems to ensure the integrity of
           the examination process.
22. Candidates are advised to check updates on the NTA websites regularly i.e. www.nta.ac.in,
    https://exams.nta.ac.in/NEET/.They should also check their mailbox on the registered E-mail address and SMS in their
    registered Mobile No. for the latest updates and information.
23. For any clarification/assistance, you can write to NTA at neet@nta.ac.in or call at Helpline number 011 -40759000
Application N umber : 240411706470     IP Addres s :152.58.27.89   Date and T ime:   03-05-2024 11:09:39   [ Page 3 of 3]