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Hello Aspirant,
See whatever regional language you opt for NEET UG 2022 it will be there in English along with that regional language, so if you opt the medium of examination as Kannada then during examination you will have an option to choose the medium among English and Kanada so there you can choose whichever language is comfortable to you and then the paper will be appearing in the same language.
Also note that once you select your medium of examination during examination then amid exam you will not be able to change it.
I hope this information helps you.
Good Luck!!
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