Before
Notary Public
Raxaul,
East Champaran
I, Pritam
Kumar Kushwaha S/o Yogendra Mehta resident of Vill – _____________PS-
__________, Distt. -__________ (Bihar) __________ do hereby solemnly affirm and
declare that:-
1. I
have done my 10th class from Cambridge Public School, __________
(CBSE) in the year 2014 and as per my 10th class records,
my date of birth is 28/11/1999.
2. I
have studied 11th class with the subjects of PHY, CHEM, BIO in G.D.S
Academy (CBSE) in the year 2014-2015 and declare “PASS”.
3. I
have studied my 12th class with the subjects of PHY, CHEM, BIO from G.D.S
Academy in the year 2015-2016.
4. I
have been granted 12th class passing certificate by the CBSE.
5. I
have joined MBBS/equivalent medical course at KSMU, BISHKEK, KYRGYZSTAN
in the academic year 2018-2019.
6. I
an still pursuing my Medicine course at the same University/Medical College.
7. I
have completed my MBBS or equivalent medical course from
_____________________________ in the year __________________.
DEPONENT
VERIFICATION:
I Pritam
Kumar Kushwaha do hereby solemnly affirm and declare that the above
statement given is true and correct to the best of my knowledge and belief and
that nothing has been concealed therefrom.
DEPONENT

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