Chhattisgarh Medical and Dental Counselling Committee
Chhattisgarh UG Medical and Dental Counselling 2023
Candidate Profile
Personal Details
NEET-UG Roll No 1704020466 NEET-UG Application 230410009684
No
Candidate Name SATYAM SAHU Father Name HARIPRAKASH SAHU
Mother Name BHAGWATIYA SAHU Gender Male
Date of Birth (DOB) 14-04-2004 Nationality Indian
Domicile Chhattisgarh Religion HINDUISM
Category Other Backward Class (OBC Non
Creamy Layer)
Rank Details
NEET All India Rank (UG Medical) 198253
Sub Category List
Person with Disability No
Freedom Fighter No
Sainik No
Other Details
Do you want to apply for only BDS seats NO
Qualification Details
Class 12th or Equivalent Details
Passing Status(with English as a subject) Passed
Passing Year 2021
Qualification Exam State Chhattisgarh
Qualification Exam District SURAJPUR
Passing Board CENTRAL BOARD OF SECONDARY EDUCATION
Seat No/Roll No 12684519
Subject/Year/Semester Wise Marks Details
Name Passing Status Total Max Total Obtained
Physics Passed 100 53
Chemistry Passed 100 68
Biology/Biotechnology Passed 100 65
Subject/Year/Semester Max Marks : 300 | Subject/Year/Semester Obtained Marks: 186 | Subject/Year/Semester Percentage: 62
Apply For Details
Sr.No. Discipline
1 Govt College Seats
Contact Details
Correspondence Address
Premises No./Village Name Madneshwarpur
Sub Locality/Colony/Police Station(Optional) Ramanujnagar
Locality/City/Town/Village/Post Office Ramanujnagar
Country India
State Chhattisgarh
District SURAJPUR
Pin Code 497229
Mobile Number 909****735
Email Id sat*******************com
Alternate Contact Number (Optional) 724****736
Alternate Email Id (Optional) San******************com
Permanent Address
Premises No./Village Name Madneshwarpur
Sub Locality/Colony/Police Station(Optional) Ramanujnagar
Locality/City/Town/Village/Post Office Ramanujnagar
Country India
State Chhattisgarh
District SURAJPUR
Pin Code 497229
Fee Payment Details
Fee Payment for Registration
Transaction Number Transaction Amount Transaction Date
pay_MJYD7ZrEiHsLZM 6000 29/07/2023 01:57:26
Registration Details
Activity Date & Time IP Address
Registration Form Submission Jul 25 2023 8:34PM 152.58.59.162
NEET-UG Roll No: 1704020466 Generated On: 29-07-2023 01:58:25 PM Page No. 1
Chhattisgarh Medical and Dental Counselling Committee
Chhattisgarh UG Medical and Dental Counselling 2023
Candidate Profile
Application Form Submission Jul 29 2023 1:41PM 152.58.59.30
Declaration
I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief. Any mistake / misinformation, detected at
the time of admission or at any stage in future, will result in the cancellation of admission. I have read the information bulletin and understood all the
procedures.
I hereby agree to the following terms and conditions governing the admission process of
Counselling:
1. I have gone through and understood the contents of Information Brochure and eligibility
criteria prescribed therein. I shall abide by rules and admission process as specified by the
Department of Medical Education Govt. of Chhattisgarh, Swaasthya Bhawan, New Raipur,
Chhattisgarh.
2. I know that during verification of documents at the time of reporting, if any discrepancy is
found in original documents, including category, sub-category, date of birth etc. then my
candidature will be cancelled.
3. I know that the personal information provided by me is genuine and authentic.
4. I declare that I will not disclose or share the password with anybody. I understand that I am
solely responsible for safe guarding my password and neither Department of Medical
Education Govt. of Chhattisgarh, Swaasthya Bhawan, New Raipur, Chhattisgarh nor NIC is
responsible for misuse of my password.
5. I am aware of the fee, bond etc conditions of the Institution that I am interested in and know
that Department of Medical Education Govt. of Chhattisgarh, Swaasthya Bhawan, New
Raipur, Chhattisgarh has no role to play in that.
6. I hereby declare that i have read and agree with the rules and regulation by the Department
of Medical Education Govt. of Chhattisgarh, Swaasthya Bhawan, New Raipur, Chhattisgarh.
Signature of Candidate
(SATYAM SAHU)
NEET-UG Roll No: 1704020466 Generated On: 29-07-2023 01:58:25 PM Page No. 2
