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    DR AMITPAL SINGH
    The document is a preview of an online application form for NII PhD entrance exam 2023-24. It contains personal details of the applicant such as name, date of birth, address, educational qualifications, test city preferences, and a declaration signed by the applicant. The applicant has uploaded a disability certificate and can proceed to make the application fee payment after verifying the details on this preview page.

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    Uploaded by

    DR AMITPAL SINGH
    45 views5 pages
    The document is a preview of an online application form for NII PhD entrance exam 2023-24. It contains personal details of the applicant such as name, date of birth, address, educational qualifications, test city preferences, and a declaration signed by the applicant. The applicant has uploaded a disability certificate and can proceed to make the application fee payment after verifying the details on this preview page.

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    The document is a preview of an online application form for NII PhD entrance exam 2023-24. It contains personal details of the applicant such as name, date of birth, address, educational qualifications, test city preferences, and a declaration signed by the applicant. The applicant has uploaded a disability certificate and can proceed to make the application fee payment after verifying the details on this preview page.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views5 pages

    Preview

    Uploaded by

    DR AMITPAL SINGH
    The document is a preview of an online application form for NII PhD entrance exam 2023-24. It contains personal details of the applicant such as name, date of birth, address, educational qualifications, test city preferences, and a declaration signed by the applicant. The applicant has uploaded a disability certificate and can proceed to make the application fee payment after verifying the details on this preview page.

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    © All Rights Reserved
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    You are on page 1of 5

    23/09/2023, 15:59 Preview

    | Welcome NII_23W_60111

    Preview Registration Number - NII_23W_60111

    Note: Candidates are advised to verify details on this page before submitting the form, candidates can use edit link
    against each section to edit details of the respective section before submitting the form. For Verification in hard
    copy form you can also take the print of the Preview page by using browser print option (Ctrl +P). The Preview page
    printed will not be considered as submitted application form, after verifications check the declaration and submit
    your form and make payment. After application fees payment, you can download your submitted application form
    from Candidate Dashboard.

    Personal Details

    Edit
    Applicant Photo

    Edit Photo

    Program
    NII PhD entrance exam 2023-24 (winter session)

    Title
    DR.

    Full Name
    AMITPAL SINGH

    Date of Birth
    20-SEP-1987

    Age as on 01/01/2023
    35 YEARS 9 MONTHS 11 DAYS

    Category
    GENERAL

    https://nii2023w.onlineregistrationform.org/NII/CandidateAction_showFinalPersonalDetails.action 1/5
    23/09/2023, 15:59 Preview

    Gender
    MALE

    Are you Person with at least 40 % Disability?


    YES

    Parent's Name (Father or Mother)


    BAKSHISH SINGH

    Email ID
    DRAMIT356@GMAIL.COM

    Alternate E-Mail ID
    DRAMIT658@GMAIL.COM

    Mobile Number
    7087780065

    Alternate Mobile Number


    9877186348

    Address Details

    Edit
    Permanent Address (Home)
    Permanent Address Line 1
    282 BX MODEL TOWN EXTENSION LUDHIANA

    Permanent Address Line 2


    LUDHIANA

    Permanent Address - State


    PUNJAB

    Permanent Address - District


    LUDHIANA

    Permanent Address - City


    LUDHIANA

    Permanent Address - Pincode


    141002

    Correspondence Address

    https://nii2023w.onlineregistrationform.org/NII/CandidateAction_showFinalPersonalDetails.action 2/5
    23/09/2023, 15:59 Preview

    Correspondence address Line 1


    282 BX MODEL TOWN EXTENSION LUDHIANA

    Correspondence address Line 2


    LUDHIANA

    Correspondence Address - State


    PUNJAB

    Correspondence Address - District


    LUDHIANA

    Correspondence Address - City


    LUDHIANA

    Correspondence Address - Pincode


    141002

    Preference Selection

    Preferred Test City - 1


    DELHI- NEW DELHI

    Preferred Test City - 2


    HARYANA - KARNAL

    Preferred Test City - 3


    PUNJAB- CHANDIGARH

    Educational Qualification

    Edit

    12th

    Course Name
    12TH

    Name of University / Board


    CBSE BOARD

    https://nii2023w.onlineregistrationform.org/NII/CandidateAction_showFinalPersonalDetails.action 3/5
    23/09/2023, 15:59 Preview

    Result Status
    PASS

    Month & Year of Passing


    MARCH 2005
    Overall Percentage

    70 Discipline

    12TH

    Graduation

    Course Name
    OTHERS

    Name of University / Board


    GURU RAVIDAS AYURVED UNIVERSITY

    Result Status
    PASS

    Month & Year of Passing


    MARCH 2013
    Overall Percentage

    65 Discipline

    HOMOEOPATHY

    Other Course Name


    BHMS

    Post-Graduation

    Course Name
    M.SC.

    Name of University / Board


    DELHI UNIVERSITY

    Result Status
    PASS

    Month & Year of Passing


    JULY 2022
    Overall Percentage

    https://nii2023w.onlineregistrationform.org/NII/CandidateAction_showFinalPersonalDetails.action 4/5
    23/09/2023, 15:59 Preview

    68 Discipline

    BIOMEDICAL SCIENCES

    National Level JRF Examination Details

    National Level Qualified Fellowship Examination


    UGC

    Month & Year of Award


    JULY 2022

    Upload Documents

    Edit

    PWD Certificate DISABILITY.jpg VERIFY DOCUMENT

    Declaration

    I declare that I have carefully read and understood the instructions and eligibility
    criteria. I declare that all the entries made by me in this application form are true to the
    best of my knowledge and belief. I am aware that if any information furnished by me
    in the application is found to be false / incorrect at any stage of selection process or
    later, my candidature is liable to be cancelled by National Institute of Immunology,
    New Delhi.

    Date 23-Sep-2023

    (Signature of the Candidate)


    Edit Signature

    Proceed to Payment

    https://nii2023w.onlineregistrationform.org/NII/CandidateAction_showFinalPersonalDetails.action 5/5

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