Registration Form

Name (As per Marksheet) *

Mother's Name *

ADMIISSION TO MD/MS/ *

NATIONALITY*

Gender*

Blood Group*

CATEGORY*

QUOTA*

DATE OF BIRTH*

ALL INDIA RANK*

LAST EXAM PASSED*

NAME OF COLLEGE *

NAME OF UNIVERSITY*

INTERNSHIP TRAINING PERIOD*

MMC/MCI REGN. No*

AIEE/NEET MARKS OBTAINED*

TOTAL AIEE/NEET MARKS *

MONTH / YEAR OF AIEE/NEET EXAM *

PERMANENT ADDRESS OF STUDENT*

STUDENT MOBILE NO *

PERMANENT ADDRESS OF PARENTS*

PARENTS MOBILE/PHONE No.*

STUDENT EMAIL ID*

STUDENT AADHAAR ID*

STUDENT VOTER ID*

IGGMC, Nagpur PG Admission 2020