Bangladesh College of Physicians and Surgeons (BCPS)

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

BCPS Online Registration System Register Log in

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

Print  

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

Duration From Duration To Speciality Name of Institute

01/01/2015 30/06/2015 Obstetrics & Gynaecology Sir Salimullah Medical College, Dhaka

01/07/2015 31/12/2015 Obstetrics & Gynaecology Sir Salimullah Medical College, Dhaka

01/01/2016 30/06/2016 Obstetrics & Gynaecology Sir Salimullah Medical College, Dhaka

01/07/2016 31/12/2016 Obstetrics & Gynaecology Sir Salimullah Medical College, Dhaka

01/01/2017 30/06/2017 Obstetrics & Gynaecology Sir Salimullah Medical College, Dhaka

01/07/2017 31/12/2017 Obstetrics & Gynaecology Sir Salimullah Medical College, Dhaka

   

   

   

   

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

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy