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NEET 2020 Application Confirmation Page

This document is a confirmation page for an application to the NEET (UG) - 2020 exam. It provides details of the application submitted by Vraj Parikh, including his name, mother and father's name, date of birth, gender, category, state of eligibility, percentage of marks obtained in class 12, mobile number, email address, chosen exam city, and transaction details for the application fee payment. It confirms that the application was successfully submitted and instructs the candidate to check the details on the confirmation page for accuracy.

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Vraj Parikh
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66 views1 page

NEET 2020 Application Confirmation Page

This document is a confirmation page for an application to the NEET (UG) - 2020 exam. It provides details of the application submitted by Vraj Parikh, including his name, mother and father's name, date of birth, gender, category, state of eligibility, percentage of marks obtained in class 12, mobile number, email address, chosen exam city, and transaction details for the application fee payment. It confirms that the application was successfully submitted and instructs the candidate to check the details on the confirmation page for accuracy.

Uploaded by

Vraj Parikh
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

NEET- 2020: Confirmation Page for Application Number :200410484209 Page 1 of 1

Click Here to Print This Page Home

You have successfully submitted On-line Application. Please preserve this page alongwith proof of fee payment for future reference.

CONFIRMATION PAGE - NEET (UG) - 2020

Application No. 200410484209

अभ्य�� क� ��म (Candidate's Name) VRAJ PARIKH जन्म �त�� (Date of Birth) 15/12/2002

म�त� क� ��म (Mother's Name) ARCHANA �ल�ग (Gender) Male

�पत� क� ��म (Father's Name) MITULKUMAR वग� (Category) UR

क�� ब�रहव�� / य�ग्यत� पर��� उ���� कर�� /पर��� क� व�� ��व्य�� ग व्य��
(Year of Passing/Appearing Class- 2020 Person with Disability (PwD)(if disability is No
XII/Qualifying Exam) 40% or above) :

प�त्रत� क� र�ज्य/�� श
Gujarat र����यत� (Nationality) Indian
(State/Country of Eligibility)

प्र���� क क� प्र�तशत ( % of Marks obtained in Class


प्रश्न पत्र क� म�ध्यम (Medium of Question Paper))# English th -
12 Qualifying Examination)

म�ब�इल ��बर (Mobile No.) 91xxxxxx6621 ईम�ल पत� (Email Address) mixxxxxxxxxxxxx@[Link]

पर��� शहर क� �वकल्प (Choice of Examination City)

(1) VADODARA ( 2209) (2) ANAND ( 2202) (3) GODHARA ( 2205) (4) AHMEDABAD ( 2201)

DECLARATION: - I hereby 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. However, if any information furnished herein is found fraudulent, incorrect or untrue, I will be liable for
criminal prosecution which will result in cancellation 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 (UG) - 2020 which I have gone through
carefully. I further declare that I have not submitted any other application for NEET (UG) -2020 and mobile number and email address given in the form are
correct and my own or of my parents.

Signature Left Hand Thumb Impression

Photo

Permanent address:

Address B-104, SHUKAN-2, B/H MAHAKALI TEMPLE

City VADODARA ,VADODARA

State /Country Gujarat Pin Code 390018

Details of Transaction(SBI Bank).

Transaction ID.: CPW9045381 Total Amount: 1500 Date of Transaction: 09/12/2019

Card Type : VISA/Master Card

Application No: 200410484209 Printed On : 09/12/2019 11:25:29

Note : - Kindly check following details in Confirmation Page :

Candidate’s Name, Mother’s Name, Father’ s Name, Date of Birth, Gender, Category, PwD, Choice of Examination Cities and Medium of Question Paper. In case of any
discrepancy, these may please be corrected during 15th January, 2020 to 31st January, 2020. No corrections shall be allowed under any circumstances after this date.

[Link] 09-12-2019

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