Applicant Details

Personal Details
Application Seq No Candidate's Name
PG098028 KRIPAL BARDHAN

Father's Name Mother's Name

DAYAL CHANDRA BARDHAN MINA BARDHAN

Nationality Gender
Indian Male

Date of Birth Religion

20/Nov/1983 Hindu

Category Physically Challenged

General No

Place of Birth ARE YOU WILLING TO TAKE UP POST GRADUATE

KOLKATA COURSES IN ARMED FORCES MEDICAL SERVICES
INSTITUTIONS
No

Contact Details
Mobile Number Alternate Mobile Number
9874759507 9836469751

Email ID
kripalbardhan5@gmail.com

Identification Details
Identification Identification No.
Voter Id ARO0883389

Marks of Identification
 SCAR OVER LATERAL CANTHUS OF LEFT EYE

Correspondence Address
Address Line 1
E11/11 INDRALOKE HOUSING ESTATE 2 RANI DEBENDRABALA ROAD PAIKPARA KOLKATA
700002 WEST BENGAL.

Country State
INDIA WEST BENGAL

City/District Pin Code

Kolkata 700002

Permanent Address
Address Line 1
E11/11 INDRALOKE HOUSING ESTATE 2 RANI DEBENDRABALA ROAD PAIKPARA KOLKATA
700002 WEST BENGAL.

Country State
INDIA WEST BENGAL

City/District Pin Code

Kolkata 700002

Medical Council Registration Details

MCI/SMC REGISTRATION TYPE
Permanent

MCI/SMC REGISTRATION NUMBER

SMC 63925

STATE OF REGISTRATION
WEST BENGAL

REGISTRATION MEDICAL COUNCIL

West Bengal Medical Council

Academic Details
 State of Completion of Class 10th
WEST BENGAL

State of Completion of Class 12th

WEST BENGAL

MBBS Details
Country of completion of MBBS Qualification
INDIA

State
BIHAR

City University of Completion

Kishanganj B.N. MANDAL UNIVERSITY

University Name Name of College

B.N. MANDAL UNIVERSITY MATA GUJRI MEMORIAL MEDICAL COLLEGE,
KISHANGANJ

Month and Year of Passing

19/03/2007

Internship Details
Have you completed Internship
Yes

Location of Internship
KOLKATA

Institute of Internship Date of start of Internship

R G KAR MEDICAL COLLEGE AND HOSPITAL 20/03/2007

Date of completion of Internship

12/04/2008

MBBS EXAMINATION MARKS

1st MBBS Examination-Percentage of marks obtained
58.5
 2nd MBBS Examination-Percentage of marks obtained
61.8

Final MBBS Examination-Percentage of marks

obtained
60

Additional Information
Deported/Rusticated during Medical Course Charged of use of unfair means by NBE/Other
examination body
No
No

Have you appeared in NEET PG previously Previous Roll No.

Yes CD1432005

Year of appearing
01/2016

Test Center Details

State City
West Bengal Kolkata

Payment Details
Amount Payment Transaction No
3750 PHMP6883812041

Payment Status
Successful

Candidate Images Upload Details

Photo
 Signature

Declaration
NEET PG 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
PG the candidate explicitly agrees to the above Non Disclosure Agreement and general terms of
use for NEET PG as contained in this Information Bulletin, and NEET PG 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 PG 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 PG 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 PG
I understand that the decision of NBE shall be final and binding upon me.
Any dispute concerning NEET PG 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.

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