4/28/25, 11:25 PM ugcourses.aiimsexams.ac.in/RegistrationSlip?
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All India Institute of Medical Sciences
Ansari Nagar, New Delhi - 110029
AIIMS Undergraduate Basic Registration Form
Candidate Profile Registration ID: U5342868376 Basic Registration Date: 28/04/2025
Candidate Name: SUMIT KUMAR Date of Birth: 23 Dec 2006
Gender: Male Category: OBC (NCL)
Father's Name: DINESH KUMAR SINGH Mother's Name: USHA SINGH
PWBD Status: No PWBD Category: NA
Nationality: INDIAN State of Domicile: BIHAR
Contact Details
Address for Permanent: Correspondence Address:
C/O DINESH KUMAR SINGH , MATIHANI NAIN , P.O. C/O DINESH KUMAR SINGH , MATIHANI NAIN , P.O. MATIHANI MADHO,
MATIHANI MADHO, Mirganj , Gopalganj, BIHAR, India, 841438 Mirganj , Gopalganj, BIHAR, India, 841438
Mobile No: 1. 7488819884 , 2. Alternate-MobileNo E-Mail ID: [email protected]
9798087970
Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card)
ID Proof: Aadhar Card ID No: 373118128710 Place of Issue: India Issue Date: 14/11/2018 Valid Till: NA
UNDERTAKING/DECLARATION: I hereby declare that the information furnished by me in the Registration/Application Form is correct and nothing has been
concealed. In case any information furnished by me is found to be false/incorrect/untrue than i shall be liable to civil/criminal prosecution and my claim to
admission/appointment/registration/ service in the Institute may be cancelled/terminated.
Signature of Candidate
Thumb of Candidate
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