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All India Institute of Medical Sciences: Candidate Profile Registration ID: Basic Registration Date

The document is a registration slip for Divyanshi Dubey, who is applying for the AIIMS Undergraduate program. It includes personal details such as her registration ID, date of birth, contact information, and a declaration of the accuracy of the provided information. The document also specifies her identity proof and contact addresses.

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anupjha2004
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21 views1 page

All India Institute of Medical Sciences: Candidate Profile Registration ID: Basic Registration Date

The document is a registration slip for Divyanshi Dubey, who is applying for the AIIMS Undergraduate program. It includes personal details such as her registration ID, date of birth, contact information, and a declaration of the accuracy of the provided information. The document also specifies her identity proof and contact addresses.

Uploaded by

anupjha2004
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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5/7/25, 10:54 AM ugcourses.aiimsexams.ac.in/RegistrationSlip?

id=4zgZO6WnPAZ6EbBGLrLjXnNXPWAsyTPii3YqMCwEQWpCN+aM5z3Y

All India Institute of Medical Sciences


Ansari Nagar, New Delhi - 110029
AIIMS Undergraduate Basic Registration Form

Candidate Profile Registration ID: U5332576702 Basic Registration Date: 20/04/2024

Candidate Name: DIVYANSHI DUBEY Date of Birth: 07 Jul 2004

Gender: Female Category: General

Father's Name: RAJKUMAR DUBEY Mother's Name: DEEPMALA DUBEY

PWBD Status: No PWBD Category: NA

Nationality: INDIAN State of Domicile: UTTAR PRADESH

Contact Details

Address for Permanent: Correspondence Address:


VILLAGE - SALTAUWA DIGAR, Paikolia , Basti, UTTAR VILLAGE - SALTAUWA DIGAR, Paikolia , Basti, UTTAR PRADESH, India,
PRADESH, India, 272181 272181

Mobile No: 1. 8887762022 , 2. Alternate-MobileNo E-Mail ID: [email protected]


9919882082

Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card)

ID Proof: Aadhar Card ID No: 350991880321 Place of Issue: India Issue Date: NA 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

https://ugcourses.aiimsexams.ac.in/RegistrationSlip?id=4zgZO6WnPAZ6EbBGLrLjXnNXPWAsyTPii3YqMCwEQWpCN+aM5z3Y 1/1

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