MBBS / BDS Nomination| Kendriya sainaik board

Benefits / Concessions

MBBS/BDS Nomination Application * marked fields are mandatory.

Kindly fill details as per records to be incorporated as a guideline banner

For all documents only jpeg/jpg/gif/png/pdf/doc format allowed.Maximum 4 MB allowed.

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General details

Name of course :*

Name of Candidate :*

Date of Birth of Candidate :*

Mobile No. of Candidate :*

E-Mail ID of Candidate :*

Correspondence Address of Candidate with PIN :*

Name of Father/Husband of Candidate :*

Relation with Serving/ESM :*

Type of Service :*

Service No. of Serving/Retired Personnel :*

Rank :*

Mobile No. of Serving/Retired Personnel :*

E-Mail ID of Serving/Retired Personnel :*

Mother Name :*

Serving/Retired Personnel Priority :*

Gallantry Award :*

Name of RSB :

ZSB with Which Registered :

Proof of Medical fitness : *

Educational details

For Class 12th

Subject :*

12th Passed from which Board :*

Total Marks :*

Marks Obtained :*

Percentage :*

Division Obtained :*

Passing Year :*

For NEET

Total Marks :*

Marks Obtained :*

Percentile :*

Roll No :*

All India Rank :*

Division Obtained :*

Choice of states for Medical/Dental colleges in order of priority

Priority1 :*

Priority2 :*

Priority3 :*

Documents to be uploaded

Eligibility Certificate : *
Certificate Required!

PPO for Retired personnel :

Gazette Notification (for Gallantry Award Winner) :

Casualty/Disability documents :

Class 10th Marksheet : *
Upload Marksheet Required!

Class 12th Marksheet : *
Upload Marksheet Required!

NEET Marksheet : *
Upload Marksheet Required!

I hereby certify that none of my brothers/sisters has/have been admitted in medical/dental college through Kendriya Sainik Board against Central Pool reserve seats in the past.

I hereby agree, if admitted to conform to the rules and regulations in force that may, hereafter be made for administration of the college and its associated hospitals. I undertake that so long as I am a student of the college either inside or outside, not to do any thing that will interfere with its orderly working and discipline.

Certified that all particulars given by me above are true and any false statement will disqualify my candidature for admission to MBBS/BDS Courses. I also undertake abide by the conditions mentioned in the instructions.

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