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Dear Shahanaz
If you have already registered for round-1 for online All India Quota or Deemed/Central Universities UG Counselling-2019 then you don't have to register again or make payments again and can directly make fresh choices for round-2.
Before going for further steps, kindly read the instruction carefully given in links below.
https://medicalcounseling.nic.in/UGCounselling/Documents/SchemeUG2019.pdf
https://medicalcounseling.nic.in/UGCounselling/Documents/FAQMCCUG2019.pdf
Hope this helps you.
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