BDS APPLICATION FORM

Name of the applicant

Date of Birth

Age

Phone Number

Gender MaleFemale

Nationality/Status indianNRIForegin

Communication Address with PIN Code

Cast and Religion

Father's Name

Mother's Name

Name of Guardian with relationship

Local guardian's name

Permanent Address with PIN Code

Landline no reqLandline STD code

Whether hostel facility required

Subject	Marks Scored	Max. Marks	% of Marks
Part I English
Part II Additional Language/Subject
Physics
Chemistry
Biology
Total Marks for Optional Subjects

Marks Obtained:
Physics (Out of 180)		Chemistry (Out of 180)		Biology(Botany & Zoology)(Out of 180)
Total Marks(Out of 720)		Percentile Score

Details	Overall Rank	Category Rank	Category-PH Rank
NEET All India Rank
All India Quota Rank(for 15%Seats)

*As per the option indicated by the candidate in the online Application Form

RESULT : Qualified in NEET-2024

YesNo

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