FMGE Dec 2024

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Personal Details

Application Number
FMGE24230137
Candidate's Name Date of Birth (DD-M Gender
MUTHYAM AKHIL M-YYYY) Male
03/May/1997 Nationality
Indian
Mother's Name Father's Name Have you migrated f
MUTHYAM SHARADH MUTHYAM THIRUPAT rom another countr
A HI
y
No
Do you belong to Pe Mobile Number Alternate Mobile Nu
rson with Benchmar 9848876111 mber
k Disability (PwD) in 9948210280
terms of RPwD Act, Email ID
2016? AKHILMUTHYAM1234
No @GMAIL.COM

Identification Details

Do you have Govern Do you have Govern Government of Indi


ment of India issued ment of India issued a Issued PAN CARD
VOTER ID CARD ? PAN CARD ? Number
NO YES EZOPM7070P
Do you have Govern Do you have Govern Government of Indi
ment of India issued ment of India issued a Issued PASSPORT
DRIVING LICENSE ? PASSPORT ? Number
NO YES S1961497
PASSPORT Validity Mark of Identificatio Mark of Identificatio
06/2028 n 1 (on face) n 2 (Birth mark/Bod
A MOLE ON THE RIGH y mark)
T CHEEK A MOLE ON THE RIGH
T SIDE OF THE NECK

Eligibility Certificate (EC) Details

Have you been issue Have you joined the Have you successful
d an Eligibility Certif Primary Medical Qu ly qualified NEET-UG
icate by erstwhile M alification before 15. for obtaining admis
CI/NMC? 03.2002, or during th sion to Primary Med
No e period (15.05.2013 ical Qualification on
to 03.01.2014) when or after May 2018?
obtaining EC was ex Yes
empted by Govt of I Roll Number of NEE
ndia? T-UG qualified
No 512806471

Additional Information
Deported/Rusticate Are you debarred of Have you applied in
d during Medical Co appearing in FMGE- FMGE in the past?
urse Dec 2024? Yes
No No Session (choose late
st)
June 2024
Roll Number of FMG Result of FMGE
E FAILED
2411126638

CORRESPONDENCE ADDRESS IN INDIA

Address Line 1 Address Line 2 Country


H.NO-6-6-893 AMBETHKAR NAGAR INDIA
State City/District Pin Code
TELANGANA Karimnagar 505001
Is Permanent Addre
ss Same as Correspo
ndence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country


H.NO-6-6-893 AMBETHKAR NAGAR INDIA
State City/District Pin Code
TELANGANA Karimnagar 505001

10+2/Equivalent Exam Details

Serial Number Subject Percentage

1 PHYSICS 98

2 CHEMISTRY 95.3

3 BIOLOGY 99.67

4 ENGLISH 92.5

Aggregate Percenta
ge in PCB
97.66

Details of MBBS/ Primary Medical Qualification

Country of Completi City University/College N


on of Primary Medic BISHKEK ame
al Qualification(MB INTERNATIONAL HIG
HER SCHOOL OF MED
BS)
ICINE
KYRGYZSTAN
Month and Date of J Month and Date of P
oining assing
23/10/2018 19/06/2023
Period taken to com
plete MBBS/Primary
Medical Qualificatio
n (as per date of join
ing and passing sele
cted by candidate) i
n months
55

Test Center Details

Test City 1 Test City 2 Test City 3


Telangana, Karimnag Telangana, Hyderaba Telangana, Warangal
ar d
Test City 4
Andhra Pradesh, Gun
tur

Payment Details

Amount Payment Mode Payment Status


6195 online Payment Success
Payment Transactio
n Number
7689723655727

Document Upload Details

Captured Photo Uploaded Photo Signature

Left Thumb Impressio


n

View /
Document Down
load
To view Primary Medical Qualification Certificate(English Version), Click
duly apostilled/ attested by Indian Embassy concerned here.

To view Eligibility Certificate issued by the erstwhile MCI/NMC. Sco


re Card for qualifying NEET-UG to be uploaded in lieu of EC if admi Click
ssion in Primary Medical Qualification has been obtained on or aft here.
er May 2018

Click
To view Govt of India issued Passport
here.

Declaration
FMGE is a proprietary examination and is conducted by the National Board
of Examinations. The contents of this exam are confidential, proprietary and
are owned by the National Board of Examinations. NBEMS explicitly prohibit
s the candidate from publishing, reproducing or transmitting any or some c
ontents of this exam, in whole or in part, in any form or by any means verba
l or written, electronic or mechanical or for any purpose whatsoever. NBEM
S shall not entertain any request for sharing any content of the examination
including Answer Keys/Answer Sheets.

No content of this exam must be shared with friends, acquaintances or thir


d parties including sharing through online means or via social media. Social
media includes but not limited to SMS, Whatsapp, Facebook, Twitter, Hango
uts, Blogs etc using either one’s own account or proxy account(s).

By registering for and /or appearing in FMGE the candidate explicitly agrees
to the above Non Disclosure Agreement and general terms of use for FMGE
as contained in this Information Bulletin, and FMGE website.

I certify that I have physically attended the course of my primary medical qu


alification for the mandated period as per requirement of the University con
cerned toward award of my primary medical qualification degree certificate.

Violation of any act or breach of the same shall be liable for penal action an
d cancellation of the candidature at the bare threshold.

I understand and agree that the responsibility to submit the documents pre
scribed as per information bulletin solely rests with me and I acknowledge t
hat my candidature for FMGE shall be cancelled for my non-submission of d
ocuments in the application form, irrespective of whether the deficiencies in
the documents were/were not communicated by NBEMS to me.

I fully understand that in case the photograph and images uploaded by me i


n the application form are found not to be as per prescribed image upload g
uidelines, NBEMS shall reject my application and admit card shall not be iss
ued.

I have gone through the information bulletin of FMGE and understood that
submission of documents in previous session(s) of FMGE, or issuance of ad
mit card in any previous session of FMGE and/or declaration of result in any
previous session(s) does not confer any rights for eligibility towards the curr
ent session of FMGE.

I certify that I fulfill the eligibility requirements for FMGE/Screening Test and
have furnished complete and correct information. I understand that any ins
tances of furnishing incorrect information detected during any stage of the
examination process will automatically disqualify me from the examination
process and I will not be allowed appear for FMGE/Screening Test in future.

Similarly, if such instances go undetected during the current examination pr


ocess but, are detected in subsequent years, such disqualification will take p
lace with retrospective effect.

I also understand that providing incomplete information will automatically d


isqualify me from the examination process.I have read the information bulle
tin and do hereby undertake that I will not indulge in any unfair means/prac
tice for FMGE/Screening Test I understand that the decision of NBEMS shall
be final and binding upon me.

Any dispute concerning FMGE would be subject to Jurisdiction of the Compe


tent Courts exclusively at Delhi/New Delhi only. I will comply with the Non Di
sclosure Agreement as indicated in the information bulletin. I certify that I h
ave read the information bulletin thoroughly.

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