We do not have 2019 data and so this answer is being written based on 2018 data. With a score of 440, your rank might be approximately between 90825-99323 . This is an expected rank range: https://medicine.careers360.com/articles/neet-result-marks-vs-rank

AP MBBS seats are categorised into SVU,OU and AU areas. You need to be a local to that area to claim local status. The cut offs for various areas for BC have been as follows:

AU: 533

SVU:517

OU: 526

Now this is 2018 General Category data and with a score of 440, it is difficult for a seat in GMC under EWS. Cut offs change every year depending on various factors such as no.of Candidates appearing for the exam, no.of Candidates qualified, top NEET score and difficulty of the exam. So you will need atleast 500-525 for a seat in MBBS if you hold AP domicile. For a complete list of colleges that you may have a shot at with your NEET 2020 score, please use our College predictor: https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer . You can also check Kerala NEET cut offs at our article: https://medicine.careers360.com/articles/neet-cutoff-kerala