Professional Documents
Culture Documents
NEET - SS 2018
Applicant Details
Personal Details
Application Seq No Candidate's Name
44010377 DEBASIS SAHOO
Nationality Gender
Indian Male
Date of Birth
20/Jul/1983
Contact Details
Mobile Number Alternate Mobile Number
9178377967 7978717532
Email ID
sahoo2.2debasis@gmail.com
Declaration
https://cdn3.digialm.com/EForms/loginAction.do?subAction=DisplayProfileAfterLogin&orgId=1815&p_orgId_formId_decrypt=1815&formId=55583&sessChk=15269170
5/21/2018 NEET - SS 2018
I certify that I fulfill the eligibility requirements for NEET SS 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
appear for NEET SS 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 provision of 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 SS
I understand that the decision of NBE shall be final and binding upon me.
Any dispute concerning NEET SS 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 13.04.01
https://cdn3.digialm.com/EForms/loginAction.do?subAction=DisplayProfileAfterLogin&orgId=1815&p_orgId_formId_decrypt=1815&formId=55583&sessChk=15269170