Guntur Medical Admission Guidance

Neet Roll NO

:

NetRank

:

Marks

:

Date of Birth

:

Candidate Name

:

Father Name

:

Mother Name

:

Gender

:

Male Female

Cast Category

:

Email_id

:

10th Hall Ticket No

:

Month of Year_Passing

:

12th Hall Ticket No

:

Month of Year_Passing

:

Nationality

:

sports

:

cap

:

Ncc

:

Scouts&Guide

:

Address

:

District

:

State

:

Mobile_No

:

Alternat_No

:

Aadhar No

:

Claiming Local Status

Inter Board

Inter Marks

:

Total

:

Percentage

:

Local Area

:

Person with Disabilities(PWD)

:

Yes No

Economically Weaker Section(EWS)

:

Yes No

EWS No

:

Class	Year of study	School name	District / state
6th
7th
8th
9th
10th
11th
12th

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