13/01/2023, 22:38 NEET PG 2023

Personal Details

Application ID
PG23102854
Candidate's Name Date of Birth (DD-M Gender
SURYA LEKHA MISHR M-YYYY) Female
A 16/06/1993 Nationality
INDIAN
Mother's Name Father's Name Religion
ITISHREE MISHRA SANTANU MISHRA HINDU
Category Do you belong to Ec Place Of Birth
GENERAL onomically Weaker CUTTACK
Section (EWS) ? Are you a Person wit
YES h Benchmark Disabi
lity (PwD) in terms o
f 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 Email ID
+91 8683822792 slekhamishra1993@g
mail.com

Identification Details

Do you have Govern Do you have Govern Government of Indi

ment of India issued ment of India issued a Issued PAN CARD
VOTER ID CARD ? PAN CARD ? Number
NO YES CLWPM0855N
Do you have Govern Do you have Govern Mark of Identificatio
ment of India issued ment of India issued n 1 (on face)
DRIVING LICENSE ? PASSPORT ? SCAR MARK ON RIGH
NO NO T UPPER LIP
Mark of Identificatio
n 2 (Birth mark/Bod
y mark)
TATTOO ON LEFT FOR
EARM

CORRESPONDENCE ADDRESS

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13/01/2023, 22:38 NEET PG 2023

Address Line 1 Address Line 2 Country

90/68,1 ST FLOOR, NE NEAR SAFFRON SALO INDIA
AR PT MADAN MOHA N, MALVIYA NAGAR M State
N MALVIYA HOSPITAL ARKET, MALVIYA NAG
AR DELHI
City/District
South Delhi
Pin Code Is Permanent Addre
110017 ss Same as Correspo
ndence address?
NO

Permanent Address

Address Line 1 Address Line 2 Country

900, SECTOR-55 NEAR GAUNCHI POLI INDIA
CE CHAWKI State
HARYANA
City/District Pin Code
Faridabad 121004

MBBS Qualification Details

Country of completi State/UT of Complet City

on of MBBS Qualific ion Sonipat
ation HARYANA University of Compl
INDIA etion
PT. B.D. SHARMA UNI
VERSITY OF HEALTH S
CIENCES, ROHTAK
Name of College Date of Passing
BPS GOVERNMENT M 27/12/2017
EDICAL COLLEGE FOR
WOMEN, SONEPAT

Internship Details

Have you completed City of Internship Institute of Internsh

Internship SONIPAT ip
YES BPS GOVERNMENT M
EDICAL COLLEGE
Date of start of Inte Date of completion
rnship of Internship
01/01/2018 31/12/2018

Medical Council Registration Details

Medical Council Regi Medical Council Regi Name of Medical Co

stration Type stration Number uncil
PERMANENT 21780 DELHI MEDICAL COU
NCIL

MBBS EXAMINATION MARKS

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13/01/2023, 22:38 NEET PG 2023

1st MBBS Examinati 2nd MBBS Examinati Final MBBS Examina

on-PERCENTAGE OF on-PERCENTAGE OF tion-PERCENTAGE O
MARKS OBTAINED MARKS OBTAINED F MARKS OBTAINED
62.8 59.2 55.9
Aggregate marks in
percentage in all MB
BS professional exa
minations
58.3

Additional Information

Deported/Rusticate Charged of use of un Have you appeared i

d during Medical Co fair means by NBEM n NEET PG previousl
urse S/Other examinatio y?
NO n body ? YES
NO Roll Number of last
NEET PG taken
2266035098
Year of appearing
05/2022

Test Center Details

State City
DELHI DELHI/NCR

Payment Details

Amount Payment Mode Payment Status

4250 online Payment Success
Payment Transactio
n No.
0187024421338

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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