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
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