Nothing Special   »   [go: up one dir, main page]

Neet PG 2024

Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

Personal Details

Application ID
PG24162644
Candidate's Name Date of Birth (DD-MM Gender
KURMA VIVEK MATHE -YYYY) Male
WS 22/Aug/1993 Nationality
INDIAN
Mother's Name Father's Name Religion
K LUCY USHA MARTHA KURMA DEVADANAM CHRISTIAN
NDA DEVI Category Place Of Birth
OBC MACHILIPATNAM
Are you a Person wit Are You Willing to Ta
h Benchmark Disabili ke up Post Graduate
ty (PwD) in terms of Courses in Armed For
RPwD Act, 2016? ces Medical Services I
NO nstitutions
YES

Contact Details

Mobile No Alternate Mobile No Email ID


+91 9642509640 +91 7989722973 vivekmathews.k@gmai
l.com

Identification Details

Do you have Govern Do you have Govern Government of India


ment of India issued ment of India issued Issued PAN CARD Nu
VOTER ID CARD ? PAN CARD ? mber
NO YES HSOPK9926E
Do you have Govern Government of India Driving License Validi
ment of India issued Issued DRIVING LICE ty
DRIVING LICENSE ? NSE Number 02/2038
YES AP01600307142018 Do you have Govern
ment of India issued
PASSPORT ?
NO
Mark of Identificatio Mark of Identificatio
n 1 (on face) n 2 (Birth mark/Body
A MOLE IS ON THE RIG mark)
HT WRIST A SCAR BELOW THE LE
FT EYE
CORRESPONDENCE ADDRESS

Address Line 1 Address Line 2 Country


PLOT NO-12, PADMAV PORANKI INDIA
ATI GARDENS PHASE 2
State City/District
EXTENSION,
ANDHRA PRADESH Krishna
Pin Code Is Permanent Addres
521137 s Same as Correspon
dence address?
YES

Permanent Address

Address Line 1 Address Line 2 Country


PLOT NO-12, PADMAV PORANKI INDIA
ATI GARDENS PHASE 2
State City/District
EXTENSION,
ANDHRA PRADESH Krishna
Pin Code
521137

MBBS Qualification Details

Country of completio State/UT of Completi City


n of MBBS Qualificati on Guntur
on ANDHRA PRADESH University of Comple
INDIA tion
NTR UNIVERSITY OF H
EALTH SCIENCES, VIJAY
WADA
Name of College Date of Passing
KATURI MEDICAL COLL 31/08/2017
EGE, GUNTUR

Internship Details

Have you completed City of Internship Institute of Internshi


Internship GUNTUR p
YES KATURI MEDICAL COLL
EGE
Date of start of Inter Date of completion o
nship f Internship
06/10/2017 05/10/2018

Medical Council Registration Details

Medical Council Regi Medical Council Regi Name of Medical Cou


stration Type stration Number ncil
PERMANENT APMC/FMR/105365 ANDHRA PRADESH ME
DICAL COUNCIL
MBBS EXAMINATION MARKS

1st MBBS Examinatio 2nd MBBS Examinati Final MBBS Examinat


n-PERCENTAGE OF M on-PERCENTAGE OF ion-PERCENTAGE OF
ARKS OBTAINED MARKS OBTAINED MARKS OBTAINED
55.16% 58.18% 56.84%
Aggregate marks in p
ercentage in all MBB
S professional exami
nations
56.73%

Additional Information

Deported/Rusticated Charged of use of unf Have you appeared i


during Medical Cours air means by NBEMS n NEET PG previousl
e ? y?
NO NO YES
Roll Number of last Year of appearing in l
NEET PG taken ast NEET PG taken
23661016334 03/2023

Test Center Details

State City
ANDHRA PRADESH VIJAYAWADA

Payment Details

Amount Payment Mode Payment Status


3500 online Payment Success
Payment Transaction
No.
9205841837237

Document Upload Details

Captured Photo Uploaded Photo Signature


To view valid Medical C
ouncil registration cert
ificate of MBBS Qualifi
cation Click here.
Left Thumb Impressio
n

You might also like