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    of 2

    West Bengal Medical Counselling Committee

    West Bengal PG Medical Counselling 2024


    Document Verification Certificate

    Verification Date : Nov 20 2024 12:14PM


    Personal Details
    NEET PG Roll Number 24661201081 NEET PG Application PG24130096
    Number
    Candidate Name ANINDITA PAL Father Name ASIM PAL
    Mother Name KAKALI PAL Gender Female
    Date of Birth 22-03-1998 Nationality Indian
    State of Domicile West Bengal Religion HINDUISM
    Category Other Backward Class (OBC)-B NEET PG Category Other Backward Class (OBC-NCL)
    NEET PG PC/PwD No
    Status
    Rank Details
    All India Rank (PG Medical) 52327
    Sub Category List
    Physically challenged.[PC/PwD Certificate issued through online mode as No
    per MCC DGHS Govt.of India from IPGMER Kolkata]
    Candidate Other Details
    Category Certificate issued in the state of West Bengal? Yes
    Are you an NRI/PIO/OCI Candidate wishing for NRI Quota seats? (OCI No
    candidate wishing to appear as Indian, shall select “No” option
    Service Experience Details? None of these( will be treated as open candidate)
    Whether in possession or pursuing any PG Course? None
    Qualification Details
    MBBS Passing Details
    Passing Status Passed
    Passing Year 2021
    MBBS Passing State West Bengal
    Registration Number 275620162017
    Internship Completion Details
    Have you completed/Pursuing Internship ? Yes
    SNo. 1
    Institute Name & Address CALCUTTA NATIONAL MEDICAL COLLEGE AND HOSPITAL ,32
    GORACHAND ROAD,KOLKATA 700014
    Internship starting date 03/05/2021
    Internship completion date 02/05/2022
    Contact Details
    Correspondence Address
    Premises No./Village Name 93/1/1 S.N.BANERJEE ROAD
    Sub Locality/Colony/Police Station(Optional) TITAGARH POLICE STATION
    Locality/City/Town/Village/Post Office BARRACKPORE
    Country India
    State West Bengal
    District NORTH 24 PARGANAS
    Pin Code 700120
    Mobile Number 987****798
    Email Id ap2**************com
    Alternate Contact Number (Optional) 967****923
    Alternate Email Id (Optional) --
    Permanent Address
    Premises No./Village Name 93/1/1 S.N.BANERJEE ROAD
    Sub Locality/Colony/Police Station(Optional) TITAGARH POLICE STATION
    Locality/City/Town/Village/Post Office BARRACKPORE
    Country India
    State West Bengal
    District NORTH 24 PARGANAS
    Pin Code 700120
    Fee Payment Details
    Registration Fee
    Transaction Number Transaction Amount Transaction Date
    ZHD17ZM05WF187 3000 19/11/2024 18:59:17
    Declaration
    I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief. Any mistake / misinformation, detected at
    the time of admission or at any stage in future, will result in the cancellation of admission. I have read the information bulletin and understood all the
    procedures.
    Generated On 20-11-2024 12:16:57 PM Page No. 1
    West Bengal Medical Counselling Committee
    West Bengal PG Medical Counselling 2024
    Document Verification Certificate

    Remarks --
    Changes None
    Eligibility Status
    Eligibility Status/Choice Status You are accepted during document verification and are eligible for choice
    filling during the current round !!

    I hereby agree to the following terms and conditions governing the admission process of
    WBMCC (NEET - PG 2024-2025)
    1. I have gone through and understood the contents of Information Brochure and eligibility criteria
    prescribed therein. I shall abide by rules and admission process of Seat Allotment as specified by the
    WBMCC.
    2. I know that during verification of documents at the time of reporting, if any discrepancy is found in
    original documents, including category, sub-category, date of birth etc. then my allotted seat will be
    cancelled.
    3. I know that the personal information provided by me is genuine and authentic.
    4. I am aware of the fee, bond etc. conditions of the Institution that I am interested in and know that
    WBMCC has no role to play in that.
    5. I have read the Notices and understand the Rules and Regulations of Medical Counselling
    Committee. I confirm that I will not initiate Chargeback claim against the fees paid by me to participate
    in the Medical Counselling.

    Signature of Candidate Signature of Verifying Officer


    (ANINDITA PAL) (DR SALMAN SABBIR)

    Generated On 20-11-2024 12:16:57 PM Page No. 2

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