9/12/24, 9:49 PM CENTAC - Govt.

of Puducherry

CENTRALISED ADMISSION COMMITTEE

Government of Puducherry
UG NEET APPLICATION FORM FOR ONLINE CENTAC ADMISSION - 2024 - 25

APPLICATION NUMBER : 62402206

Personal Data
Applicant's Name VISHWAJITH M

Father's / Guardian's Name MANOHAR

Mother's Name Sumathi

Gender Male

Date of Birth 07/03/2006

Religion Hindu

Mother Tongue Tamil

Address Details
Email ID smanohar1973@gmail.com

Mobile Number 8754852531

Alternate Mobile Number -

Permanent Address No. F 31, Sreenivasa Towers Oulgaret, , Puducherry,605010

Communication Address No. F 31, Sreenivasa Towers Oulgaret, , Puducherry,605010

Aadhar Number 396480430985

Reservation Details
Nationality INDIAN

Residence Puducherry

Type of Residence Claim Continuous 5 yrs

Region/Taluk Puducherry - Ozhukarai

Community / Category GENERAL Migrant Yes

NRI Sponser No Regional Reservation No

Special Reservation Details

Special Category - EWS No

Minority -

Applied Quota Details

Applied Quota Government Only

NEET Details
NEET Application Number 240410199171

NEET Year of Passing 2024

NEET Roll Number 3701010748

NEET All India Rank for Counselling 101955

NEET Mark Secured 579

https://centacpuducherry.in/UgNeet_2024/application_print_view.html 1/3
9/12/24, 9:49 PM CENTAC - Govt. of Puducherry

NEET Maximum Mark 720

Academic Details
HSC Board Name CBSE

Stream Name Academic

HSC Registration Number: 20616940

Number of attempts 1

Result: Pass

Whether H.Sc. completed in Open School (NIOS No

or Other Open Schooling):

Whether H.Sc. exam written as Private candidate No

(Exam Not attended through the School):

Biology / Bio-Technology studied as OPTIONAL No

subject in H.Sc. or its equivalent:

Studied in Govt. School from Standard I to XII and No

willing to claim Govt. School 10% Reservation
quota:

Class School Name Type Year of Passing

12th ADITYA VIDYASHRAM PORAIYUR VILLIANUR PUDUCHERRY Private 2023

11th ADITYA VIDYASHRAM PORAIYUR VILLIANUR PUDUCHERRY Private 2022

10th Amrita Vidyalayam moolakulam puducherry Private 2021

9th Amrita Vidyalayam moolakulam puducherry Private 2020

8th Amrita Vidyalayam moolakulam puducherry Private 2019

Marks
Subjects ENGLISH NO PHYSICS CHEMISTRY BIOLOGY MATHEMATICS
LANGUAGE /
MATHEMATICS
I

Marks 76 / 100 0/0 79 / 100 77 / 100 78 / 100 63 / 100

Secured Mark / Maximum Mark 373 / 500 Result : Pass

Payment Details
Reference Number N2024073117061403539

Amount 1000.00

Pay Date 2024-07-31 05:08:05

Attachments
Attached File Uploaded View

Birth Certificate YES Birth Certificate

HSC Marksheet YES HSC Marksheet

Tenth Marksheet YES Tenth Marksheet

Transfer Certificate YES Transfer Certificate

NEET Score Card YES NEET Score Card

Residence Certificate YES Residence Certificate

https://centacpuducherry.in/UgNeet_2024/application_print_view.html 2/3
9/12/24, 9:49 PM CENTAC - Govt. of Puducherry

Community Certificate YES Community Certificate

Affidavit for not claiming dual residence YES Affidavit for not claiming dual residence

COURSE PREFERENCE - SECOND ROUND Last update: 2024-09-12 21:42:06

1 [GQ] (IGMC&RI, PDY) - M.B.B.S. Medicine

Declaration
 I hereby declare that I have carefully read the UG NEET Information Brochure. All the particulars stated in this application
form are true and correct to the best of my knowledge and belief. If any information provided is found false/ incorrect, I shall
abide by the actions and decisions taken by the CENTAC.

Signature

https://centacpuducherry.in/UgNeet_2024/application_print_view.html 3/3