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Neet PG 2024

The document is an application for NEET PG 2024 by a candidate named Sowmiya C, who is a female from Puducherry, India, born on December 13, 2000. She has completed her MBBS qualification from Puducherry University and is currently undergoing an internship at the Puducherry Institute of Medical Sciences. The application includes personal, contact, identification, and academic details, as well as payment information confirming a successful transaction of 3500 INR.

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Sowmiya
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0% found this document useful (0 votes)
12 views3 pages

Neet PG 2024

The document is an application for NEET PG 2024 by a candidate named Sowmiya C, who is a female from Puducherry, India, born on December 13, 2000. She has completed her MBBS qualification from Puducherry University and is currently undergoing an internship at the Puducherry Institute of Medical Sciences. The application includes personal, contact, identification, and academic details, as well as payment information confirming a successful transaction of 3500 INR.

Uploaded by

Sowmiya
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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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

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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

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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

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