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Adi Id

mcq

Uploaded by

Kumar Aditya
Copyright
© © All Rights Reserved
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(ON RS.

10 STAMP PAPER DULY NOTARIZED)

AFFIDAVIT

I SHIV BHAJAN SINGH NETAM S/o RATIRAM NETAM resident of INDIA do hereby
solemnly affirm and declare that:-
1. I am an Indian national by birth Citizen of India.
2. I have completed 19 years 11 months age in the year of admission in MBBS or
equivalent medical course.
3. I have done my 10th class from MAHARSHI DAYANAND SARSWATI H S SCHOOL,
BHILAIDURG, CHHATTISGARH BOARD OF SECONDARY EDUCATION, RAIPUR in the year
2009-2010 and as per my 10th class records, my date of birth is 2ND NOVEMBER 1995.
4. I have studied 11th class with the subjects of PHYSICS,
CHEMISTRY, BIOLOGY, ENGLISH GENERAL, HINDI SPECIAL in MAHARSHI DAYANAND
ANGLO VEDIC H.S. SCHOOL, KANKER, CG in the year 2010-2011 and declared “PASS”.
5. I have studied my 12th class with the subjects of PHYSICS, CHEMISTRY, BIOLOGY,
ENGLISH GENERAL AND HINDI SPECIAL from GOVT. H S SCHOOL NARHARPUR KANKER
in the year 2 0 1 1 - 2 0 1 2 .
6. I have been granted 12th class passing certificate by the CHHATTISGARH BOARD OF
SECONDARY EDUCATION, RAIPUR .
7. I have to take admission/had joined in MBBS/equivalent medical course at OSH STATE
UNIVERSITY, OSH, KYRGYZSTAN in the academic year 2015-2016.
8. I am still pursuing my Medicine course at the same University.
9. I have completed my MBBS or equivalent medical course from OSH
STATE UNIVERSITY in the year 2022 .

DEPONENT SIGNATURE

VERIFICATION:

I SHIV BHAJAN SINGH NETAM do hereby solemnly affirm and declare that the
above Statement given is true and correct to the best of my knowledge and belief and
that nothing has been concealed there from.

DEPONENT SIGNATURE

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