Registration Form For Institute Level Spot Counselling For PG(MD/MS/MDS) & Super Speciality (DM/MCh 3 years) Courses for JANUARY 2022 Session
CANDIDATE DETAILS
Course Applied For
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--Select--
MD/MS/MDS
DM/MCh
Session
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JAN 2022
PERSONAL INFORMATION:
CANDIDATE NAME
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GENDER
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Male
Female
Others
DATE OF BIRTH
ROLL NO.
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CATEGORY
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UR
OBC
SC
ST
BELONGS TO OPH
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NO
YES
ALL INDIA RANK
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MOBILE NO
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EMAIL
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AGGREGATE PERCENTAGE IN MBBS
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PERCENTILE SCORE IN ENTRANCE EXAM
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REGISTRATION DATE
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