Details of Students passed MBBS from HOME COLLEGE
Internship year 2024
Internship month Feb-26
Full name as per Provisional MOODE SUMA
Father name as per SSC MUDE BALAJI NAIK
Mother name as per SSC MUDE SUSEELA
Date Of Birth as per SSC 13/09/2000
Gender FEMALE
Mobile no. 8985401972
Email [email protected]
Country INDIA
State ANDHRA PRADESH
District VISAKHAPATNAM
City name VISAKHAPATNAM
Picode 530031
Address QR NO:206/1, SECTOR 4,UKKUNAGARAM, STEELPLANT, VISAKHAPATNAM
Internship Starting date 26/02/2024
Internship place GGH ,GUNTUR
MBBS Qualified year 2024
MBBS Qualified month FEBRUARY
MBBS H-Tciket no. 19M102002157
Signature of the student
Mobile No: 8985401972
Encl:
1. Application 4. SSC Certificate
2. Two Photos 5. Provisional certificate
3. Amount paid / not paid
(All Encloures must be .jpg/.png format only)
Photo Signature
(Size less than 30 kb) (size less 20 kb)
SSC Certificate MBBS Certificate
(Size less than 50kb) (Size less than 50 kb