Andhra Medical College - Visakhapatnam

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Fullname*

Surname*

Phone Number*

DATE OF BIRTH

GENDER *

NATIONALITY

State

CASTE*

Selected Through*

RELIGION

NATIVE PLACE

BLOOD GROUP *

AADHAR NUMBER*

PERMANENT ADDRESS

YEAR OF ADMISSION *

COURSE *

Selected Through

NEET PG RANK (All India Rank)

NEET PG STATE RANK (State Rank)

Allotment Number

MBBS college Name

MBBS University Name

MBBS Year Of Passing

MBBS Register Number

MBBS Permanent Medical Council Registration

MDMS college Name

MDMS University Name

MDMS Year Of Passing

Father Name

Father email

Father Occupation

Father Phone

Mother name

Mother email

Mother Occupation

Mother Phone

Local Guardian Name

Local Guardian email

Guardian Occupation

Local Guardian Phone

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