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If you have already been alloted a college in first round then you can either go for Choice 2 or Choice 3-

Choice 2 - If you are satisfied with the allotted seat but want to participate in the further counselling rounds. Such candidates will pay the prescribed fees but will be considered for the next round of counselling. If a higher option is allotted in the next round then the earlier allotted seat will be cancelled automatically. If a higher option is not allotted then the earlier allotted seat remain in favour of the candidate.

Choice 3 - If you are not satisfied with the allotted seat but are willing to participate in the next round of counselling. To opt for Choice 3, candidates will be required to cancel the allotted seat and re-order the already entered option.

To know more about Karnataka NEET MBBS 2018 2 round counselling, click below link-

https://medicine.careers360.com/articles/karnataka-mbbs-counselling

All the best.