11/29/2018 NEET- 2019: Confirmation Page for Application Number :190411296829

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) - 2019

Application No. 190411296829

अ थ का नाम (Candidate's Name) ARPIT SINGH ज ितिथ (Date of Birth) 14/05/2001

माता का नाम (Mother's Name) MONA िलंग (Gender) Male

िपता का नाम (Father's Name) AKHILESH KUMAR वग (Category) SC

क ा बारहवीं / यो ता परी ा उ ीण करने /परी ा का वष

िद ां ग
(Year of Passing/Appearing Class-XII/Qualifying 2019 No
(Person with Disability)
Exam)

पा ता का रा /दे श
Uttar Pradesh रा ीयता (Nationality) Indian
(State/Country of Eligibility)

ा ां क का ितशत ( % of Marks obtained in Class

प का मा म (Medium of Question Paper))# English -
12th)

मोबाइल नंबर (Mobile No.) 91xxxxxx1325 ईमेल पता (Email Address) shxxxxxxxxxxxxx@gmail.com

परी ा शहर के िवक (Choice of Examination City)

(4) NOIDA/GREATER NOIDA (

(1) KANPUR ( 4407) (2) LUCKNOW ( 4408) (3) ALLAHABAD/PRAYAGRAJ ( 4402)
4410)

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) - 2019 which I have gone through
carefully. I further declare that I have not submitted any other application for NEET (UG) -2019 and mobile number and email address given in the form are
correct and my own or of my parents.

Signature

Photo

Complete mailing address:

Address M 309, Keshav Puram, Awas Vikas No. 01

City KALYANPUR ,KANPUR NAGAR

State /Country Uttar Pradesh Pin Code 208017

Details of Transaction(SBI Bank).

Transaction ID.: IGAEVZCVX0 Total Amount: 750 Date of Transaction: 11/29/2018 2:47:08 PM

Card Type : VISA/Master Card

Application No: 190411296829 Printed On : 29/11/2018 02:48:19

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 14th January, 2019 to 31st January, 2019. No corrections shall be allowed under any circumstances after this date.

https://ntaneet.nic.in/ntaneet/online/ConfirmationPage.aspx 1/2
11/29/2018 NEET- 2019: Confirmation Page for Application Number :190411296829

https://ntaneet.nic.in/ntaneet/online/ConfirmationPage.aspx 2/2