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Bsccourses - Aiimsexams.ac - in RegistrationSlip Id 2225702

This document is a registration form for AIIMS B.Sc. courses in 2024. It provides information about the candidate such as name, date of birth, gender, category, qualifications, address, contact details, payment details, and examination city preferences.

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0% found this document useful (0 votes)
80 views2 pages

Bsccourses - Aiimsexams.ac - in RegistrationSlip Id 2225702

This document is a registration form for AIIMS B.Sc. courses in 2024. It provides information about the candidate such as name, date of birth, gender, category, qualifications, address, contact details, payment details, and examination city preferences.

Uploaded by

manjitplk3
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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All India Institute of Medical Sciences

Ansari Nagar, New Delhi - 110608


Entrance Examination - 2024
Registration Form - AIIMS B.Sc. Courses - 2024

Candidate Profile Registration ID: U5332225702 Payment ID: 1042100 Registration Unique Code: 5035810

Candidate Name: JYOTI RAO Date of Birth: 12 Sep 2005

Gender: Female Category: SC

Father's Name: JAI PRAKASH Mother's Name: SHAIL KUMARI

PWBD Status: No PWBD Category: NA

Nationality: INDIAN State of Domicile : UTTAR PRADESH

Applied Course : B.Sc. (Hons.) Nursing

Contact Details

Address for Permanent: Correspondence Address:


DEVIPUR, GAJRAURA POST PATIHAN, TAHSEEL PALIA KALAN, DEVIPUR, GAJRAURA POST PATIHAN, TAHSEEL PALIA KALAN, LAKHIMPUR
LAKHIMPUR KHERI, Pallia , UTTAR PRADESH, India, 262902 KHERI, Pallia , UTTAR PRADESH, India, 262902

Mobile No: 1. 8810746135 , 2. Alternate-MobileNo 9336368173 E-Mail ID: [email protected]

Qualification Details

Qualifying Exam Qualifying Exam Roll No. : Exam Board Name State Subject Choice Passing/Expected
Status Name Year

12th/SSC Passed 2235795040 Board of High school and Uttar Physics, Chemistry, English 25/04/2023
Exam(10+2) Intermediate U.P. Pradesh and (Biology Only)

Academic Details

Qualifying Exam Status Scoring Scheme Max Marks Marks Obtained Percentage(%)

Passed Percentage 500.00 375.00 75.00

Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card)

ID Proof: Aadhar Card ID No: 589458698507 Place of Issue: India Issue Date: NA Valid Till: NA

Payment Details

Mode: Online Date: 22/03/2024 Transaction ID: 50358101210 Amount: 1600

Examination City :
State: UTTAR PRADESH State 2: UTTAR PRADESH State 3: UTTAR PRADESH
Choice : BAREILLY Choice 2: LUCKNOW Choice 3: GORAKHPUR

UNDERTAKING/DECLARATION: I hereby declare that the information furnished by me in the Registration/Application Form is correct and nothing has been concealed.
In case any information furnished by me is found to be false/incorrect/untrue than i shall be liable to civil/criminal prosecution and my claim to
admission/appointment/registration/ service in the Institute may be cancelled/terminated.
Signature of Candidate
Thumb of Candidate

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