APPLICATION FOR ADMISSION TO ARMED FORCES MEDICAL COLLEGE

Candidate ID 52886
AIPMT - 2014 Roll No. 82717548
Candidate Name FARHEENBEN VOHRA
DOB 24/09/1994
Registered Email imranvohra_2000@yahoo.com
Primary Mark of Identification BLACK MOLE ON RIGHT SIDE CHIN
Gender Female
Citizenship Indian
Category General
Photo

Father's Name JUNEDBHAI IBRAHIMBHAI VOHRA
Mother's Name SHAHEENBEN
Parents in Armed Force No
Postal Address
C-406, BDL NO:2, JAI SHIV SAKTI CHS, OPP: TRIVENI
NAGAR, KURAR VILLAGE, MALAD(EAST),MUMBAI-
400097
State MAHARASHTRA
Pin 400097
Permanent Address
AADARSH SAW MILL, B/H M.T.HIGH SCHOOL, NR:OLD
BUS STOP, CAMBAY. DIST:ANAND.PIN:388630
Phone 02266182422
Mobile 9987320448
Qualification Details :-
Qualified Exam 10+2
Current/latest Qualification 10+2
X Details :-
Name of School Kendriya Vidyalya ONGC Cambay
Name of board / university CBSE
Grade Not Applicable
Aggregate % 91.20
Year of qualifying X 2010
XII Details :-
XII Status Completed
Name of school/college Matushri Kashiben Vrajlal Valia International Vidyalaya
Name of board / university CBSE
Aggregate % 76.2
Year of Qualifiying XII 2012
Have you indicated willingness to join
AFMC in AIPMT - 2014 Application
Form
Yes
DECLARATION BY THE UG CANDIDATE
I (FARHEENBEN VOHRA) S/o, D/o Shri JUNEDBHAI IBRAHIMBHAI VOHRA hereby declare and solemnly affirm that all the particulars stated in the
Application from that is being submitted in the online form for the AFMC MBBS Admission 2013, are true to the best of my knowledge and belief. I agree to
abide by the rules and regulations given in the prospectus and also to the decision of the Controlling authority. It is understood that the Controlling
authority has the right to withhold my result even if I have been selected in addition to any other action as may be deemed fit in the event of any of the
statements made above being found incorrect. It is certified that I have gone through the instructions contained in the ONLINE PROSPECTUS.
It is certified that my parents / guardian have also gone through the prospectus and have checked the online form filled by me.
Place:
Date:

Signature of Candidate
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