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Part 1

This document is an application for NEET UG Medical and Dental Counseling 2024 for a candidate named Jheel Jain. The application includes personal details such as registration ID, NEET roll number, date of birth, and academic qualifications, along with a confirmation of eligibility criteria. The application fee of Rs. 2500 has been paid, and the candidate is required to complete Part 2 of the online application form by the due date.

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19 views1 page

Part 1

This document is an application for NEET UG Medical and Dental Counseling 2024 for a candidate named Jheel Jain. The application includes personal details such as registration ID, NEET roll number, date of birth, and academic qualifications, along with a confirmation of eligibility criteria. The application fee of Rs. 2500 has been paid, and the candidate is required to complete Part 2 of the online application form by the due date.

Uploaded by

jheeljain9a
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Office of the Chairman,

NEET UG Medical & Dental Admission/Counseling Board-2024

SMS Medical College, JLN Marg Jaipur

NEET UG (Medical/Dental) Counselling 2024


(MBBS, BDS)

APPLICATION - PART 1

REGISTRATION ID : RM1369

NEET ROLL NO. : 3908030328

NAME : JHEEL JAIN

FATHER'S NAME : PARAS KUMAR JAIN

DATE OF BIRTH : 26-02-2007

CATEGORY : GENERAL

PwD : NO

WDP / WPP : NO

10+2 PCB PERCENTAGE (%) : 91.00

I have passed the qualifying examination (class 10+2) individually in Physics, Chemistry and
Biology/Bio-technology (including practical tests) with prescribed percentage criteria and
have also passed in the English subject as per the applicable eligibility criteria for admission
to MBBS/BDS course.

DOMICILE STATE : Rajasthan

OTHER ELIGIBILITY CRITERIA

III. The candidate is son/daughter of serving or retired (i) Employee of Government of


Rajasthan (ii) Officer of All Indian Services borne on State Cadres of Rajasthan and has
served for more than 3 years with State Government

APPLICATION FEE : Rs. 2500 (RUPEES TWO THOUSAND FIVE HUNDRED ONLY)

TRANSACTION ID : 11000235630069

TRANSACTION TIMESTAMP : 2024-08-16 17:46:43

Note: To complete your registration, now fill and submit Part 2 of your on-line application form by the due date/time.

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