Bangladesh College of Physicians and Surgeons (BCPS)
Bangladesh College of Physicians and Surgeons (BCPS)
Bangladesh College of Physicians and Surgeons (BCPS)
You have successfully completed your registration.
Old Candidates:Please print this page and preserve it to you. Candidate may have to bring their hardcopy of documents to the College, if requested.
New Candidates: Please print this page and submit it to the BCPS office on or before 18 November for January examination each year and 4 June for July examination each
year with the following documents:
Training Certificates and Logbook
Course completion certificate (if applicable)
Letter of the acceptance of dissertation/Thesis
Posting Order/ Attachment Order and Joining Letter
FCPS-I Passed document or FCPS/MD/MS Certificate (if applicable)
Copy of the permanent registration certificate of BMDC
Copy of the certificate of MBBS/BDS
Copy of Bank deposit slip of Registration and Examination fee
Other necessary documents
Save as PDF
Bangladesh College of Physicians and Surgeons (BCPS)
67, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka-1212, Bangladesh
Application for appearing FCPS Part-II (Final) Examination
BMDC Registration No: A44037
ID:9833
For Official Use Only
Eligible
Not eligible
FCPS-I/MD/MS/MRCP Qualified
Training Certificate Accepted
Logbook Accepted
Dissertation/Thesis Accepted
Dissertation Pending
Debarred Candidate
Other Comments ...............
Money Receipt No. FJB-2014079834402
Speciality Obstetrics & Gynaecology
Speciality Code 30
1. Personal Information
Applicant's Name MST. AKHTARA PARVIN
Father's Name MD. KHALILUR RAHMAN MONDAL
Mothers' Name KAMRUNNAHAR EVA
Date of Birth Saturday, November 15, 1980
Nationality Bangladeshi
Mailing Address 46, Siddhewari Lane Ramna Dhaka
Permanent Address Vill. West Munshipara Krishnapur, P.O. Kurigram,P.S. Kurigram, Dist. Kurigram,
Contact No. (Res.)
Mobile No. 01712657593
Email dr.akhtara15@gmail.com
2. Academic Identity
BMDC Reg. No A44037
Valid Upto 25/11/2021
Year of Passing MBBS/BDS 2004
Name of College Rangpur Medical College, Rangpur
3. Enrollment Identity
a. Record of Passing FCPS-I Examination:
Year: 2011 Session: July
Roll (Last 4 digit): 3525 Subject: Obstetrics & Gynaecology
b. Record of Previous FCPS-II/MD/MS/MRCP examination:
Have you apeared in FCPS-II No
Last appeared for FCPS-II (if
Year: , Session: , Roll: 0, Subject:
any)
c. Record of Log Book:
Have you submitted Log Book Yes
If yes, Log Book covered the
28/09/2014 to 19/02/2018
period of training
d. Record of Dissertation/Thesis:
Date of Submission of
21/06/2018
Dissertation/Thesis
Acceptance of
Yes
Dissertation/Thesis
e. Record of Training:
Total persiod of training (month) 36
Last Training Institute: Sir Salimullah Medical College, Dhaka
Last Trainer's Name: Dr. Nilofer Nasreen Ava
Course Institute: BSMMU
Chairman/Head of the Dept.: Prof. Dr. Tripti Rani Das
Type of Candidate: Govt
Present Employment Institute: BSMMU
Head of the Institute: Prof. Dr. Kanak Kanti Barua
4. Employment Identity
Employment Type Government
Code No (if Govt. Employee) 126403
Present Designation Medical Officer
Institute Name Sir Salimullah Medical College
Working Address Mitford Hospital Dhaka
5. Training Record
Signature of the Head of the Institute/Chairman of the Dept.
Applicant’s Signature
(Applicable for applicants appearing with course or through proper channel)
Date : ………………………………
Date : ………………………
© 2020 - BCPS