ADMISSION
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ADMISSION FEE
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ADMISSION FORM
International Medical College
Gosholia, Sataish, Tongi, Gaziour
Tel: 9814713, 9814714, 9814550 (Principal)
Application form for Admission
Name of the Candidate
Father's Name
Mother's Name
Date of Birth
Place of Birth
Nationality
Religion & Cast
Permanent Address
Present Address
Telephone
Emal
Contact Address
Name of Local Guardian with Contact Address & Telephone
Relationship with Student
Monthly Income of Guardian
Hostel required
Yes
No
Educaitonal Qualifications
Exam
Board
Year
Marks/GPA
Total
SSC
HSC
Marks/Grade obtain in Biology in HSC
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