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    Identification (Id) Form: Mahar, Vasudha

    Uploaded by

    Alfred Chow
    This document is an identification form for the National Medical Admission Test (NMAT) that contains personal information about the applicant such as name, date of birth, nationality, college attended, and contact details. It lists the applicant's top three medical school choices and requires signatures from the applicant and their school head to certify the applicant's identity and that they will graduate by the end of the school year.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Identification (Id) Form: Mahar, Vasudha

    Uploaded by

    Alfred Chow
    73 views1 page
    This document is an identification form for the National Medical Admission Test (NMAT) that contains personal information about the applicant such as name, date of birth, nationality, college attended, and contact details. It lists the applicant's top three medical school choices and requires signatures from the applicant and their school head to certify the applicant's identity and that they will graduate by the end of the school year.

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    nmat

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    This document is an identification form for the National Medical Admission Test (NMAT) that contains personal information about the applicant such as name, date of birth, nationality, college attended, and contact details. It lists the applicant's top three medical school choices and requires signatures from the applicant and their school head to certify the applicant's identity and that they will graduate by the end of the school year.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    73 views1 page

    Identification (Id) Form: Mahar, Vasudha

    Uploaded by

    Alfred Chow
    This document is an identification form for the National Medical Admission Test (NMAT) that contains personal information about the applicant such as name, date of birth, nationality, college attended, and contact details. It lists the applicant's top three medical school choices and requires signatures from the applicant and their school head to certify the applicant's identity and that they will graduate by the end of the school year.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    NMAT

    National Medical Admission Test


    IDENTIFICATION (ID) FORM
    (Must be SUBMITTED to the Examiner on the day of the test)

    Application No.: 1101710169


    MAHAR, VASUDHA
    Card Transaction No.: 2000012626
    Name of Applicant (name that will appear on your Answer Sheets and Examinee Report Form)
    1997-05-17 Female India Single
    Birthdate Sex Nationality Civil Status
    Angeles University Foundation, Angeles City, Pampanga
    Name of College Graduating From
    Pampanga Philippines
    2 X 2 ID Picture
    State/Province of College Graduating From Country of College Graduating From
    BS in Psychology 2017-2018
    College Course (Bachelors Degree) School Year Graduating

    contact information
    ROOM NO.A 2 FLOOR AUF COOP M.PONCE STREET, CLARO M. RECTO, ANGELES CITY, PAMPANGA 2009 Philippines
    Home Address
    Test Center: Manila
    ROOM NO.A 2 FLOOR AUF COOP M.PONCE STREET, CLARO M. RECTO, ANGELES CITY, PAMPANGA 2009 Philippines
    Test Date: October 22, 2017
    Mailing Address
    Results to be: Sent via postal mail
    N/A +63-9422608185 1996hannah.vasudhamahar@gmail.com
    Test results and NMAT ID information released
    to requesting medical schools? No Landline Mobile E-mail
    (For Foreign Applicant only)
    Medical School Choices:
    1. Angeles University Foundation - College of Medicine P4528808 October 17, 2026 DEHRADUN
    2. Emilio Aguinaldo College - College of Medicine Passport No. Expiry Date Place of Issue

    3. Our Lady of Fatima University - College of Medicine

    FOR THE NMAT APPLICANT


    1. Bring this Form to your school. Your School Head must affix his/her signature on the space provided below to certify that you can graduate by the end of the
    school year stated above.
    2. Visit the NMAT website to verify the status of your NMAT application and to download the NMAT Practice Set.
    3. Visit the NMAT website two weeks before the test date to know your room assignment and to download your Examination Permit.
    4. Affix your signature on the certification below:

    I hereby certify that I have read, fully understood, and accepted all the information, terms and conditions specified on the NMAT Bulletin of Information and on
    the NMAT website www.cem-inc.org.ph/nmat, including, among others, the NMAT policies on refund of test fees, on cheating or improper test-taking behavior in
    any manner or form, and on failure to take or complete the test on the test date and test center indicated on this Form. I further certify that all information I gave
    on this Form is true and correct to the best of my knowledge and that any misinformation shall constitute grounds for my disqualification from taking the NMAT
    or invalidation of my NMAT results.

    Applicants Signature Date Signed

    FOR THE SCHOOL HEAD


    Please affix your signature on the space provided below to confirm the identity and academic status of the NMAT applicant.

    I hereby certify that the person in the picture above can graduate from ________________________________________________________________
    Angeles University Foundation, Angeles City, Pampanga

    with a college (bachelors) degree of/in ____________________________________________________________


    BS in Psychology by the end of school year ______________.
    2017-2018
    He/She can apply for admission to any Philippine medical college in the next schoolyear ________________.
    2018-2019

    Signature & Printed Name of School Head Designation Date Signed

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