(उतर िशा िवभाग, मानव संसाधन िवकास मंालय, भारत सरकार के तहत एक ाय संगठन) (An Autonomous Organization under the Department of Higher Education, Ministry of Human Resource Development, Government of India) Office for Communication Block C-20/lA/8, Sector-62, IITK Outreach Centre, Gautam Buddh Nagar, District, Noida-201309, Uttar Pradesh (India) PUBLIC NOTICE Regarding filling in the Application of NEET (UG)-2020 by the aspirants from Kashmir Valley and Leh (15 December, 2019) The NEET (UG)-2020 is scheduled to be conducted on 3 May 2020. Many requests have been received from the Candidates of Kashmir Valley and Leh regarding difficulty they are facing while filling in the online Application Form for NEET (UG)-2020. In view of the above, it was notified that, in addition to the existing online Application facility, the Candidate(s) in the Kashmir Valley and Leh can also submit the Application Form offline by using any of the following methods: 1. downloading the form available on the website ntaneet.nic.in and filling in the hard copy, depositing it at the Nodal Centre mentioned below and obtaining a Receipt there from. 2. Using a hard copy of the form available at the Nodal Centre, filling in, depositing it there itself and obtaining a Receipt there from. Nodal Officer: Mr. Abdul QayoomTantray Email ID : [email protected], Mob: 9596143555 Address : Delhi Public School, Athwaja, Srinagar, Jammu & Kashmir-190004 Google link : https://plus.codes/8J6P2VRJ+H3 In continuation of the above notification issued by the National Testing Agency (NTA) on 09 th December, 2019, the facility of submission of offline Application Form has been further ‘expanded’ to the following additional centers in Kashmir Valley and Leh. S.No. College Name of Assistant Professor/ Nodal Officer Phone No. Email 1. GDC Ganderbal Prof. Aasia Qayoom 9541545097 [email protected]2. GDC Pulwama Prof Manan Gul 7006338316 abdulmananbhatgmail.com 3. GDC Anantnag Prof. Ummar Muhammad 9419044700 [email protected]4. ICSC Srinagar Prof. Sheikh Suhail Ahmad 9419007328 [email protected]5. Amar Singh College, Srinagar Dr.Irfan Khursheed Shah 9419212898 [email protected]6. GDC Kulgam Prof. Zahoor Ah. Lone 7006250170 [email protected]7. GDC Baramulla NIsar lqbal Wani 9419033701 [email protected]8. GDC Kupwara Prof. Showkat Ah Wani 7006372061 [email protected]9. Lamdon Model Senior Sec School Leh Dr Stanzin Dawa 9988902204 [email protected]The candidates are required to fill in complete details along with supporting documents wherever required. The candidates are advised to pay their fees in the form of a Demand Draft (DD) drawn in favour of Director General,National Testing Agency, payable at NOIDA (UP). NATIONAL ELIGIBILITY CUM ENTRANCE TEST [NEET (UG) – 2020]
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(उ�तर िशा िवभाग, मानव संसाधन िवकास मं�ालय, भारत सरकार के तहत एक �ाय� संगठन)
(An Autonomous Organization under the Department of Higher Education, Ministry of Human Resource Development, Government of India)
Office for Communication Block C-20/lA/8, Sector-62, IITK Outreach Centre, Gautam Buddh Nagar, District, Noida-201309, Uttar Pradesh (India)
PUBLIC NOTICE Regarding filling in the Application of NEET (UG)-2020 by the aspirants from Kashmir Valley and Leh
(15 December, 2019)
The NEET (UG)-2020 is scheduled to be conducted on 3 May 2020. Many requests have been received from the
Candidates of Kashmir Valley and Leh regarding difficulty they are facing while filling in the online Application Form for
NEET (UG)-2020.
In view of the above, it was notified that, in addition to the existing online Application facility, the Candidate(s)
in the Kashmir Valley and Leh can also submit the Application Form offline by using any of the following methods:
1. downloading the form available on the website ntaneet.nic.in and filling in the hard copy, depositing it at the
Nodal Centre mentioned below and obtaining a Receipt there from.
2. Using a hard copy of the form available at the Nodal Centre, filling in, depositing it there itself and obtaining a
Camera, Tape Recorder, Electronic Watches with facilities of calculator, any metallic item or electronic
gadgets/ devices in the Examination Hall/Room.
Diabetic students are allowed to carry eatables like sugar tablets/fruits (like banana/apple/ orange) and
transparent water bottle to the Examination Hall. However, they will not be allowed to carry packed
foods like chocolates/candy/sandwich etc. For detailed instruction refer to Chapter 8 and Chapter 9 of
Information Bulletin.
Candidates taking help of others (including Cyber Café etc.) should ensure that all the four steps
mentioned above have been filled up correctly in their presence only. False/misleading information will
lead to cancellation of candidature and/or criminal proceedings under laws of the country.
DISCLAIMER
1. Candidates are advised to read the Information Bulletin carefully and go through the above instructions
regarding filling of Offline Application Form.
2. Candidate should ensure that all information filled in the Offline Application Form is correct.
3. Information provided by candidates like name of candidate, contact/ address details, category, PwD status,
educational qualification details, date of birth, etc will be treated as correct/final. Any request for changes
in information after submission of form will not be considered by NTA under any circumstances. Any
candidate found to mislead by providing inaccurate information will be debarred from taking the
examination.
4. NTA disclaims any liability that may arise due to incorrect information provided by the candidate(s) during
registration process.
5. NTA does not edit /modify/alter any information entered by the candidates after completion of application
process under any circumstances. NTA does not guarantee that any request for change in information
thereafter will be entertained. Therefore, candidates are advised to exercise utmost caution and care for
filling up correct details in the Application Form.
Usage of Data and Information: NTA can use the data provided by the End User (test taker in this case) for internal
purpose(s) including training, research and development, analysis and other permissible purpose(s).
Offline Application Form for Kashmir Valley and Leh Candidates Only
NATIONAL ELIGIBILITY CUM ENTRANCE TEST (UG)-2020
(Put Your Signature Here) (Put Your Left hand thumb Impression)
Application No. SNO.
(to be filled by the Nodal Centre)
1. Candidate’s Name
(As per Class X certificate)
2. Father's Name
3. Mother's Name
4. Date of Birth(MM/DD/YY)
5. Category (Tick any one) 1. SC 2. ST 3. OBC-NCL 4. General 5.General-EWS
6.
Person with Disability (Pwd)
(Tick any one)
1. Yes 2.No Please refer to MCI
Amendment Notification No.
MCI-34(41)/2019-
Med/112862 dated
13.05.2019
7. If PwD Yes, Type of Disability: (Tick any one)
(i) Locomotor disability, including specified disability in this category under PwD Act 2016. (ii) Intellectual disability, including specified disability in this category under PwD Act 2016. (iii) Mental Behavior/Mental illness (iv)Disability caused due to Choronic Neurological conditions and Blood Disorder (v)Multiple Disability including deaf blindness (vi)Visual impairment (vii)Hearing impairment (viii)Speech & Language disability
8. Disability Percentage Person with less than
40% disability is not eligible for PWD Quota
9. Do you need scribe (Tick any one)
1. YES,(Arrange by Own) 2. Yes,(Arrange by NTA) 3. No, i don't need scribe
10. Gender (Tick any one) 1. Male 2. Female 3. Transgender
11. Nationality (Tick any one) 1. Indian 2.NRI 3. OCI 4.PIO 5. Foreign
12. Address for Communication Including State\City\District\Pin Code
13. State of Eligibility (for 15% All India Quota Seats)
5. Bank Account 6. Class-XII Admit Card issued by the Board 7. Any Other Valid Govt. Identity. Please Specify
:………………………………………………...
15. Enter Identification Number of Identity Type
16. Mobile No:
Your Own or Parents Only
17. Email Address:
Page No. 1
2004150
Paste Your
Latest
Photograph
Cost of Form: Free
18. Are you suffering from Diabetes Type 1 ? (Tick any one)
1. Yes 2.No
19. Medium of Question Paper (Tick any one)
1. English 2. Hindi 3. Urdu
20. Examination City Choices (Provide City & Code City Name )
1. 2.
3 4.
Please Refer Annexture-I
Details of Class-X
21. Name of School
Education Board
22. Name and Address of the
School / College
23. Year of Passing
24. Percentage of Marks
obtained
25. Provide Roll Number of
Class 10th
Details of Class-XII / Qualifiing Examination
26. Name of School
Education Board
27. Name & Address of the
School / College
28. Passed/Appearing
(Tick any one) 1. Passed 2. Appearing
29. Year of
Passing/Appearing
30. % of Marks obtained
31.
Provide Roll Number of
Class 12th
(If available)
32. Mode of Preparation
(Tick any one) 1. Self Study 2. Coaching
Declaration: I hereby declare that, to the best of my knowledge and belief, the particulars given above and the
declaration made therein are true. I am submitting 5 pages(including the Application Form) and the following
Bank Draft:-
Bank Draft of Rs ……………. drawn on (Name of Bank) ……………………………………………………… . Bank
Draft Number ………………. dated ……………….. drawn in favour of “Director General, National Testing Agency,
Noida” payable at NOIDA is enclosed.
(Signature of the Applicant)
Checklist - Please enclose following with the Application form : Self-Declaration proforma for candidates belonging to UT of Jammu & Kashmir/ U T of Ladhak (Page : 3)
Post Card size Photograph pasted on the proforma(Page : 4)
Photo Copy of Class X passed certificate (Page : 5)
Bank Draft of requisite fee
Page No. 2
Application No. SNO.
(to be filled by the Nodal Centre)
Candidate’s Name ………………………………….
Self-Declaration Proforma for Candidates belonging to erstwhile State of
J & K (now known as UTs of J & K and Ladakh)
I, …………………………… Son/Daughter of……………………. do hereby solemnly affirm and state
as follows:
(i) That I am not eligible to appear for the MBBS/BDS seats in the erstwhile State of J&K (now known as UTs of J & K and Ladakh) and hence not eligible to seek admission in Medical/Dental
Colleges in J&K.
(ii) That I am not domiciled in erstwhile State of J&K (now known as UTs of J & K and Ladakh).
(iii) That I further declare that the said declaration is made by me on my own after knowing and understanding all the rules and its implications.
(iv) That if the above statement of mine is found incorrect at any time, my candidature/ admission in MBBS/BDS or any other Graduate Medical Course respectively, be cancelled and legal action as deemed fit may be initiated against me.
(Put Your Signature Here) (Put Your Left hand thumb Impression)
Date: Name
Father Name
Mother Name
(*Note: For any new instruction in the above regard, the website of Ministry of Home Affairs ,G.O.I,
may be visited time to time ).
Page No. 3
2004150
Paste Your
Latest
Photograph
Application No. SNO.
(to be filled by the Nodal Centre)
Candidate’s Name : …………………………………………..
(For photograph, the focus needs to be on face (80% face coverage, ears clearly visible, on white background).
Page No. 4
2004150
Paste Your latest
Post Card
Size Photograph
Application No. SNO.
(to be filled by the Nodal Centre)
Candidate’s Name ………………………………….
(For Photocopy of Pass Certificate of Class-X).
Page No. 5
2004150
Annexure-I
LIST OF EXAMINATION CITIES FOR NEET-UG 2020 CITY_CD STATE CITY
1101 Andaman & Nicobar Islands PORT BLAIR
1201 Andhra Pradesh GUNTUR
1202 KURNOOL
1203 NELLORE
1204 TIRUPATI
1205 VIJAYAWADA
1206 VISAKHAPATNAM
1301 Arunachal Pradesh ITANAGAR/NAHARLAGUN
1401 Assam DIBRUGARH
1402 GUWAHATI
1403 SILCHAR
1404 TEZPUR
1501 Bihar GAYA
1502 PATNA
1601 Chandigarh CHANDIGARH/MOHALI/PANCHKULA
1701 BHILAI/DURG/BHILAI NAGAR
1702 BILASPUR
1703 RAIPUR
1801 Dadra & Nagar Haveli DADRA & NAGAR HAVELI
1901 Daman & Diu DAMAN
2001 Delhi DELHI/NEW DELHI
2101 Goa PANAJI/MADGAON/MARGAO
2201 Gujarat AHMEDABAD
2202 ANAND
2203 BHAVNAGAR
2204 GANDHINAGAR
2205 GODHARA
2206 PATAN
2207 RAJKOT
2208 SURAT
2209 VADODARA
2210 VALSAD
2301 Haryana FARIDABAD
2302 GURUGRAM
2401 Himachal Pradesh HAMIRPUR
2402 SHIMLA
2501 Jammu and Kashmir JAMMU
2502 SRINAGAR
2601 Jharkhand BOKARO
2602 JAMSHEDPUR
2603 RANCHI
2701 Karnataka BELGAUM/BELGAVI
2702 BENGALURU
2703 DAVANAGERE
2704 DHARWAD
2705 GULBARGA/KALABURGI
2706 HUBLI
2707 MANGALURU
2708 MYSURU
2709 UDUPI
2801 Kerala ALAPPUZHA
2802 ANGAMALY
2803 ERNAKULAM
2804 KANNUR
2805 KASARAGOD
2806 KOLLAM
2807 KOTTAYAM
2808 KOZHIKODE/CALICUT
2809 MALAPPURAM
2810 PALAKKAD
2811 THIRUVANANTHAPURAM
2812 THRISSUR
4701 Ladakh LEH
2901 Lakshadweep KAVARATTI
3001 Madhya Pradesh BHOPAL
3002 GWALIOR
3003 INDORE
3004 JABALPUR
3005 UJJAIN
3101 Maharashtra
AHMEDNAGAR
3102 AKOLA
3103 AMRAVATI
3104 AURANGABAD (MR)
3105 BEED
3106 BULDHANA
3107 JALGAON
3108 KOLHAPUR
3109 LATUR
3110 MUMBAI
CITY_CD STATE CITY
3111 NAGPUR
3112 NANDED
3113 NASHIK
3114 NAVI MUMBAI
3115 PUNE
3116 SATARA
3117 SOLAPUR
3118 THANE
3201 Manipur IMPHAL
3301 Meghalaya SHILLONG
3401 Mizoram AIZAWL
3501 Nagaland DIMAPUR
3502 KOHIMA
3601 Odisha ANGUL
3602 BALASORE/BALESWAR
3603 BERHAMPUR
3604 BHUBANESHWAR
3605 CUTTACK
3606 ROURKELA
3607 SAMBALPUR
3701 Puducherry PUDUCHERRY
3801 Punjab AMRITSAR
3802 BATHINDA
3803 JALANDHAR
3804 LUDHIANA
3805 PATIALA
3901 Rajasthan AJMER
3902 BIKANER
3903 JAIPUR
3904 JODHPUR
3905 KOTA
3906 UDAIPUR
4001 Sikkim GANGTOK
4101 Tamil Nadu CHENNAI
4102 COIMBATORE
4103 CUDDALORE
4104 KANCHIPURAM
4105 KARUR
4106 MADURAI
4107 NAGERCOIL
4108 NAMAKKAL
4109 SALEM
4110 THANJAVUR
4111 THIRUVALLUR
4112 TIRUCHIRAPPALLI
4113 TIRUNELVELI
4114 VELLORE
4201 Telangana HYDERABAD
4202 KARIMNAGAR
4203 KHAMMAM
4204 RANGAREDDY
4205 WARANGAL
4301 Tripura AGARTALA
4401 Uttar Pradesh AGRA
4402 ALLAHABAD/PRAYAGRAJ
4403 BAREILLY
4404 GHAZIABAD
4405 GORAKHPUR
4406 JHANSI
4407 KANPUR
4408 LUCKNOW
4409 MEERUT
4410 NOIDA/GREATER NOIDA
4411 VARANASI
4501 Uttarakhand DEHRADUN
4502 HALDWANI
4503 ROORKEE
4601 West Bengal 24 PARGANA(NORTH)
4602 ASANSOL
4603 BARDHAMAN/BURDWAR
4604 DURGAPUR
4605 HOOGHLY
4606 HOWRAH
4607 KHARAGPUR
4608 KOLKATA
4609 SILIGURI
RECEIPT OF APPLICATION FORM FOR NEET (UG) – 2020 (Candidate must obtain the receipt from the Nodal Officer)
Received one application form for NEET (UG) – 2020 from (candidate’s name) ……………………
………………………………………………………………………………………………………………………………... having
Application No. SNO.
(to be filled by the Nodal Centre)
containing 5 pages (including the Application Form) and the following Bank Draft:- Bank Draft of Rs ……………. drawn on (Name of Bank) ……………………………………………………… . Bank Draft Number ……………….
dated ……………….. drawn in favour of “Director General, National Testing Agency, Noida” payable at NOIDA is enclosed.
(Signature of the Nodal Officer)
Name of Nodal Officer: ……………………………….
Stamp of the Nodal Officer …………………………….
Dated:
(Nodal Officer should give one copy of the receipt to the candidate and retain one copy for submission at NTA office)