I am sorry to say you that your form will get rejected. You may appear for the exam but during counseling, you will be disqualified. The members concerned for counseling are intolerant. I had been to counseling and I have seen how they behave. They wont accept any mistakes. However you can do one thing. Contact NTA as soon as possible for the correction.

NTA NEET UG Contact Details -
Mail - neetug-nta@nic.in
Phone - 8076535482, 7703859909

Else, prepare hard and better for the next year and make sure you do not repeat the same mistake.

Best Of Luck.

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