4/17/24, 7:25 PM NEET PG 2024
Personal Details
Application ID
PG24020467
Candidate's Name Date of Birth (DD-M Gender
SOWMIYA C M-YYYY) Female
13/Dec/2000 Nationality
INDIAN
Mother's Name Father's Name Religion
CHITRA CHANDRAMOHAN HINDU
Category Place Of Birth Are you a Person wi
OBC PONDICHERRY th Benchmark Disab
ility (PwD) in terms
of RPwD Act, 2016?
NO
Are You Willing to T
ake up Post Graduat
e Courses in Armed
Forces Medical Servi
ces Institutions
NO
Contact Details
Mobile No Alternate Mobile No Email ID
+91 9486416553 +91 8754832097 ashoksow@yahoo.co.
in
Identification Details
Do you have Govern Government of Indi Do you have Govern
ment of India issued a Issued VOTER ID C ment of India issued
VOTER ID CARD ? ARD Number PAN CARD ?
YES XDQ0115782 YES
Government of Indi Do you have Govern Do you have Govern
a Issued PAN CARD ment of India issued ment of India issued
Number DRIVING LICENSE ? PASSPORT ?
NBVPS1664F NO NO
Mark of Identificati Mark of Identificati
on 1 (on face) on 2 (Birth mark/Bo
MOLE ON LEFT SIDE dy mark)
NECK SCAR ON LEFT HAND
CORRESPONDENCE ADDRESS
Address Line 1 Address Line 2 Country
123 THIRUVANNAMA THIRUKKANUR INDIA
LAI ROAD
https://g21.digialm.com/EForms/SBIepayAfterPaymentAction.do?88570ZZ1815ZZonline 1/3
4/17/24, 7:25 PM NEET PG 2024
State City/District Pin Code
PUDUCHERRY Pondicherry 605501
Is Permanent Addre
ss Same as Correspo
ndence address?
YES
Permanent Address
Address Line 1 Address Line 2 Country
123 THIRUVANNAMA THIRUKKANUR INDIA
LAI ROAD
State City/District
PUDUCHERRY Pondicherry
Pin Code
605501
MBBS Qualification Details
Country of completi State/UT of Complet City
on of MBBS Qualific ion Puducherry
ation PONDICHERRY University of Compl
INDIA etion
PONDICHERRY UNIVE
RSITY
Name of College Date of Passing
PUDUCHERRY INSTIT 25/06/2023
UTE OF MEDICAL SCIE
NCES & RESEARCH, P
ONDICHERRY
Internship Details
Have you completed City of Internship Institute of Internsh
Internship PONDICHERRY ip
NO PONDICHERRY INSTIT
UTE OF MEDICAL SCIE
NCE
Date of start of Inte Likely Date of compl
rnship etion of Internship
26/06/2023 25/06/2024
Medical Council Registration Details
Medical Council Regi Medical Council Regi Name of Medical Co
stration Type stration Number uncil
PROVISIONAL 35239 TAMIL NADU MEDICA
L COUNCIL
MBBS EXAMINATION MARKS
1st MBBS Examinati 2nd MBBS Examinat Final MBBS Examina
on-PERCENTAGE OF ion-PERCENTAGE OF tion-PERCENTAGE O
MARKS OBTAINED MARKS OBTAINED F MARKS OBTAINED
73.33 73.27 72.00
https://g21.digialm.com/EForms/SBIepayAfterPaymentAction.do?88570ZZ1815ZZonline 2/3
4/17/24, 7:25 PM NEET PG 2024
Aggregate marks in
percentage in all MB
BS professional exa
minations
66.56
Additional Information
Deported/Rusticate Charged of use of u Have you appeared i
d during Medical Co nfair means by NBE n NEET PG previousl
urse MS ? y?
NO NO NO
Test Center Details
State City
TAMIL NADU SALEM
Payment Details
Amount Payment Mode Payment Status
3500 online Payment Success
Payment Transactio
n No.
9610102675527
Document Upload Details
Captured Photo Uploaded Photo Signature
To view valid Medical
Council registration c
ertificate of MBBS Qu
alification Click here.
Left Thumb Impressio
n
https://g21.digialm.com/EForms/SBIepayAfterPaymentAction.do?88570ZZ1815ZZonline 3/3