Confirmation Letter_ARUNIMA VIJAYAN Flipbook PDF

Confirmation Letter_ARUNIMA VIJAYAN

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CENTRAL BOARD OF SECONDARY EDUCATION CONFIRMATION PAGE - NEET(UG)-2018 You have successfully submitted On-line Application. Please preserve this pagealong withproof of fee payment for future reference.

Application / Registration No. : 40723216

Candidate's Name Mother's Name Father's Name Year of Passing/Appearing Class XII State/Country to which Applicant belongs Question Paper Medium Mobile No.

ARUNIMA VIJAYAN MARY MIRANDA A A VIJAYAN P K 2018

Date of Birth Gender Category Person with Disability:

05/03/2001 Female SC No

Kerala

Nationality

Indian

English 91xxxxxx6199

Class XII Marks(%) Email Id

Choice of Exam Centres

KOZHIKODE ( 5064)

KANNUR ( 5061)

[email protected] m MALAPPURAM ( 5065)

DECLARATION :- I hereby solemnly and sincerely affirm that all the particulars stated by me in the Application Form are true and correct. Even the spelling of names and category are also correct. I have not concealed any information including information about previous attempts in AIPMT/NEET. However, if any information furnished herein is found fraudulent, incorrect or untrue, I understand that I will be liable for criminal prosecution which will result incancellation of my candidature. Further that the selection and admission to the course is liable to be cancelled. I agree to abide by the Rules and Regulations governing the Examination as contained in the Information Bulletin for NEET, 2018 which I have gone through carefully. I further declare that I have not submitted any other application for NEET, 2018 and mobile no and email address given in the form are correct and my own or of my parents.

Photo

Signature

Complete Mailing Address Address PUTHIYOTTUMKARA, AVADUKKA POST, PANTHEERIKKARA City CHANGAROTH ,KOZHIKODE State/Country Kerala Pin Code

673528

Details of Transaction(SBI Bank) Transaction ID.: CPD2882917 Card Type: VISA/Master Card

Total Amount: 750

Date of Transaction: 2/17/2018 4:02:38 PM

Registration No:

40723216

Printed On : 17/02/2018