Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 7 views

    Application For MBBS Admission - Form 1

    Uploaded by

    qureshiuzheidar

    Copyright:

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

    Application For MBBS Admission - Form 1

    Uploaded by

    qureshiuzheidar
    7 views1 page

    Original Title

    Application for MBBS Admission - Form 1

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

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

    Application For MBBS Admission - Form 1

    Uploaded by

    qureshiuzheidar

    Copyright:

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

    Anna Medical College Mauritius

    College : Sans Souci Road, Montagne Blanche, Mauritius || Ph +230 437 2630 || Fax +230 438 1203

    AMCRC
    Empowering Students

    APPLICATION FOR MBBS


    Affix your recent
    passport size photo
    ALL SECTIONS OF THIS FORM MUST BE COMPLETED & SEND ALONG WITH THE FOLLOWING
    and sign across
    Passport Copy of Student
    Copy of mark sheets 12th / A-level, 11th& 10thstd / O level
    Copy of 12th / HSC / A-level pass cer�ficate from the last studied ins�tu�on
    Copy of Transfer cer�ficate issued by last studied ins�tu�on (if applicable)
    Copy of conduct cer�ficate issued by last studied ins�tu�on
    Copy of Medical fitness cer�ficate and lab report for HIV, Hepa��s-B & Blood group
    Passport copy & 3 month bank statement of parent / Sponsor (minimum balance equivalent to 3500 USD)

    FILL ALL THE SECTIONS LEGIBLY ONLY WITH BLUE/BLACK BALL POINT PEN

    Mr Miss Mrs First Name Surname

    Gender Male Female Marital Status Married Unmarried Date of Birth

    Passport No Country of Issue & Citizenship

    Passport Expiry Date

    House Name / No & Street City

    Area / District State Country Pin Code

    Mobile No (With country code) Email ID

    Father Mother Guardian


    Name

    Occupation

    Email ID

    Contact No with area code

    Mobile No with country code


    ACADEMIC HISTORY (+2 / 12TH STANDARD / HSC / A LEVELS) & DEGREE IF APPLICABLE
    NAME OF THE QUALIFYING EXAMINATION NAME OF THE BOARD / UNIVERSITY

    OTHERS
    PERCENTAGE /
    GRADE PHYSICS CHEMISTRY BIOLOGY MATHS BOTANY ZOOLOGY ( PLEASE
    SPECIFY)

    I declare that all informa�on given in this applica�on & accompanying enclosures are true to the best of my knowledge.
    I agree to the condi�on that, if any informa�on or statement is found to be incorrect, my admission will automa�cally be cancelled

    Signature of Parent / Guardian Signature of Candidate


    Date Date

    You might also like