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Name of the Candidate:

(as given in class X certificate)

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Indian F.N. (Foreign National)
OCI NRI Child/Ward Of NRI
Male Female
S.No. Subject  Maximum Marks Marks Obtained Percentage Of Marks
1 English
2 Physics
3 Chemistry
4 Biology/Bio-technology
5 Aggregate of Physics, chemistry & Biology/ Bio-Technology Subjects
Application Form to be filled only if you have qualified the NEET Exam as per the Supreme Court Directives & it does not hold any right for admission.