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Ugcourses - Aiimsexams.ac - in RegistrationSlip Id VRa5uP6OF38TA5lRgYC+F1ku9tnsz9W1DfBSD45FdH+J3w3T4BC8

This document is the registration slip for Prachi Mishra, a candidate for the AIIMS Undergraduate Basic Registration. It includes personal details such as her registration ID, date of birth, gender, and contact information. The document also contains a declaration regarding the accuracy of the information provided.

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anshulm557
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37 views1 page

Ugcourses - Aiimsexams.ac - in RegistrationSlip Id VRa5uP6OF38TA5lRgYC+F1ku9tnsz9W1DfBSD45FdH+J3w3T4BC8

This document is the registration slip for Prachi Mishra, a candidate for the AIIMS Undergraduate Basic Registration. It includes personal details such as her registration ID, date of birth, gender, and contact information. The document also contains a declaration regarding the accuracy of the information provided.

Uploaded by

anshulm557
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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4/12/25, 4:03 PM ugcourses.aiimsexams.ac.in/RegistrationSlip?

id=VRa5uP6OF38TA5lRgYC+F1ku9tnsz9W1DfBSD45FdH+J3w3T4BC8

All India Institute of Medical Sciences


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

Candidate Profile Registration ID: U5342641483 Basic Registration Date: 11/04/2025

Candidate Name: PRACHI MISHRA Date of Birth: 12 Aug 2006

Gender: Female Category: EWS

Father's Name: AKHAND PRAKASH MISHRA Mother's Name: PRABHA MISHRA

PWBD Status: No PWBD Category: NA

Nationality: INDIAN State of Domicile: MADHYA PRADESH

Contact Details

Address for Permanent: Correspondence Address:


SAMAN NEAR AIRTEL TOWER, HANUMAN VATIKA, Rewa , SAMAN NEAR AIRTEL TOWER, HANUMAN VATIKA, Rewa , Rewa,
Rewa, MADHYA PRADESH, India, 486001 MADHYA PRADESH, India, 486001

Mobile No: 1. 8871980121 , 2. Alternate-MobileNo E-Mail ID: [email protected]


9589615980

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

ID Proof: Aadhar Card ID No: 444682876782 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=VRa5uP6OF38TA5lRgYC+F1ku9tnsz9W1DfBSD45FdH+J3w3T4BC8 1/1

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