Personal Details: MD020071 Patel Khusbu Nileshkumar

Applicant Details
Personal Details
Application Seq No Candidate's Name

MD020071 PATEL KHUSBU NILESHKUMAR
Father's Name Mother's Name

PATEL NILESHKUMAR K PATEL TARALIKABEN N
Nationality Gender
INDIAN FEMALE
Date of Birth Religion

16/Nov/1996 HINDU
ARE YOU WILLING TO TAKE UP POST Category

GRADUATE COURSES IN ARMED FORCES
GENERAL
MEDICAL SERVICES INSTITUTIONS
YES
Do you belong to Economically Weaker Physically Challenged
Section (EWS) ?
NO
YES
ARMED FORCES MEDICAL SERVICE CATEGORY
CIVILIAN DENTAL SURGEONS
Contact Details
Mobile Number Alternate Mobile Number

8469716677 8238132463
Email ID
KP87641611@GMAIL.COM
Identification Details
GOVERNMENT ISSUED PHOTO Government issued Photo identification

IDENTIFICATION number.
AADHAAR CARD 250971318097
Marks of Identification
MOLE ON LEFT HAND
Correspondence Address
Address Line 1
SHETH FALIYA
Address Line 2
DABHOI
Country State
INDIA GUJARAT
City/District Pincode
Vadodara 391110
Permanent Address
Address Line 1
SHETH FALIYA
Address Line 2
DABHOI
Country State
INDIA GUJARAT
City/District Pincode
Vadodara 391110
BDS Details
Country of completion of BDS Qualification
INDIA
State
Gujarat
Name of College Year of Passing

SIDDHPUR DENTAL COLLEGE, PATAN 01/06/2018
Internship Details
Have you completed Internship

YES
City of Internship
SIDDHPUR
Institute of Internship Date of start of Internship

SIDDHPUR DENTAL COLLEGE 11/10/2018
Date of completion of Internship
10/10/2019
Dental Council Registration Details
DCI/SDC REGISTRATION NUMBER
A17586
STATE OF REGISTRATION
GUJARAT
REGISTRATION DENTAL COUNCIL

GUJARAT DENTAL COUNCIL
BDS EXAMINATION MARKS
1st B.D.S Examination-PERCENTAGE OF MARKS OBTAINED

66.66
2nd B.D.S Examination-PERCENTAGE OF MARKS OBTAINED
61.5
3rd B.D.S Examination-PERCENTAGE OF 4th B.D.S Examination-PERCENTAGE OF
MARKS OBTAINED MARKS OBTAINED
57 58.25
Test Center Details
State City
GUJARAT GANDHINAGAR
Payment Details
Amount Payment Transaction No

3750 RHMP8148611698
Payment Status
Successful
Candidate Images Upload Details

Photo
Signature
Left Thumb Impression
Declaration
NEET MDS is a proprietary examination and is conducted by National Board of
Examinations. The contents of this exam are confidential, proprietary and are owned
by National Board of Examinations. NBE explicitly prohibits the candidate from
publishing, reproducing or transmitting any or some contents of this exam, in whole
or in part, in any form or by any means verbal or written, electronic or mechanical or
for any purpose.
No content of this exam must be shared with friends, acquaintances or third parties
including sharing through online means or via social media. Social media includes
but not limited to SMS, Whatsapp, Facebook, Twitter, Hangouts, Blogs etc using
either one’s own account or proxy account(s).
By registering for and /or appearing in NEET MDS the candidate explicitly agrees to
the above Non Disclosure Agreement and general terms of use for NEET MDS as
contained in this information bulletin, and NEET MDS website.
Violation of any act or breach of the same shall be liable for penal action and
cancellation of the candidature at the bare threshold.
I certify that I fulfill the eligibility requirements for NEET MDS and have furnished
complete and correct information. I understand that any instances of furnishing
incorrect information detected at any stage of the selection process will
automatically disqualify me from the selection process and I will not be allowed to
appear for NEET MDS in future.
Similarly, if such instances go undetected during the current selection process but,
are detected in subsequent years, such disqualification will take place with
retrospective effect.
I also understand that providing incomplete information will automatically disqualify

me from the selection process. I have read the information bulletin and do hereby
undertake that I will not indulge in any unfair means/practice for NEET MDS. I
understand that the decision of NBE shall be final and binding upon me.
Any dispute concerning NEET MDS would be subject to Jurisdiction of the Competent
Courts exclusively at Delhi/New Delhi only. I will comply with the Non Disclosure
Agreement as indicated in the information bulletin. I certify that I have read and
gone through the information bulletin for the exam.
Version 13.07.01

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Applicant Details

Application Seq No Candidate's Name

Father's Name Mother's Name

Date of Birth Religion

ARE YOU WILLING TO TAKE UP POST Category

ARMED FORCES MEDICAL SERVICE CATEGORY

CIVILIAN DENTAL SURGEONS

Mobile Number Alternate Mobile Number

GOVERNMENT ISSUED PHOTO Government issued Photo identiﬁcation

AADHAAR CARD 250971318097

Country of completion of BDS Qualiﬁcation

Name of College Year of Passing

Have you completed Internship

Institute of Internship Date of start of Internship

Date of completion of Internship

Dental Council Registration Details

DCI/SDC REGISTRATION NUMBER

REGISTRATION DENTAL COUNCIL

BDS EXAMINATION MARKS

1st B.D.S Examination-PERCENTAGE OF MARKS OBTAINED

2nd B.D.S Examination-PERCENTAGE OF MARKS OBTAINED

Test Center Details

Amount Payment Transaction No

Candidate Images Upload Details

Left Thumb Impression

I also understand that providing incomplete information will automatically disqualify

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