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Hello Aspirant,
See NEET UG paper will be conducted in 13 languages including English and English is must so whatever the medium you opt for the paper you will always have option to appear for NEET UG either in the medium that you have selected (Telugu in your case) or in English language. When you start your NEET UG examination there it is asked just before starting the paper that whether you want to continue in English or in your selected regional language, so there you can opt for English if you want to give it in English and for last year year as well the process was same but you might have selected for Telugu last year therefore paper that you got was in Telugu language.
I hope this information helps you.
Good Luck!!
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