STUDENT REGISTRATION FORM CANDIDATE'S PERSONAL DETAILS: CANDIDATE’S ACADEMIC DETAILS: 12th STANDARD: MBBS (FOR PG APPLICANTS ONLY) STREAM CHOSEN IN CLASS 12 PCM PCB PCMB Humanities Accounts Commerce & Economics Other._______________ APPEARED/APPEARING ENTRANCES: NEET (UG) NEET (PG) JEE CLAT Private Engineering Entrances:_______________________ Other._______________________________________________ IF APPEARED, NEET RANK & SCORE: CANDIDATE'S PREFERED COURSE: MBBS MBBS ABROAD BDS MD/MS/MDS Specializaton:________________________ Other:_________________ COUNSELLING TO BE APPLIED FOR: AIQ Deemed Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Tamil Nadu Tripura Uttar Pradesh Uttarakhand West Bengal MBBS ABROAD Georgia Kazakhstan Mauritius Russia Uzbekistan Others NOTES/ADDITIONAL REMARKS:
