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    Foreign Form

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    saritasinghbrj
    This document is an application form for foreign students seeking admission on a self-financed basis to Jahurul Islam Medical College in Bangladesh, which requests information such as the applicant's personal details, family details, contact information, education history, and a declaration agreeing to abide by the institution's rules and return to their home country after completing their studies.

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    © All Rights Reserved
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    Foreign Form

    Uploaded by

    saritasinghbrj
    17 views3 pages
    This document is an application form for foreign students seeking admission on a self-financed basis to Jahurul Islam Medical College in Bangladesh, which requests information such as the applicant's personal details, family details, contact information, education history, and a declaration agreeing to abide by the institution's rules and return to their home country after completing their studies.

    Original Title

    Foreign Form (2)

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    This document is an application form for foreign students seeking admission on a self-financed basis to Jahurul Islam Medical College in Bangladesh, which requests information such as the applicant's personal details, family details, contact information, education history, and a declaration agreeing to abide by the institution's rules and return to their home country after completing their studies.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    17 views3 pages

    Foreign Form

    Uploaded by

    saritasinghbrj
    This document is an application form for foreign students seeking admission on a self-financed basis to Jahurul Islam Medical College in Bangladesh, which requests information such as the applicant's personal details, family details, contact information, education history, and a declaration agreeing to abide by the institution's rules and return to their home country after completing their studies.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    APPLICATION FORM FOR FOREIGN STUDENTS

    (Seeking admission on self financed scheme)


    in PHOTO

    JAHURUL ISLAM MEDICAL COLLEGE


    BHAGALPUR, BAJITPUR, KISHOREGONJ, BANGLADESH

    (To be filled in by the candidate in block letters)

    1. Full Name of the Student ……………………......………………………… (Male / Female)

    2. Father’s Name…………....…………………………………………………………………...

    3. Mother’s Name……………………………………………………………………………......

    4. Permanent Address …………………………………………………………………………...

    …………………………………………………………………………………………………

    5. Present Address ….……………………………………………………………………………

    …………………………………………………………………………………………………

    6. Telephone No. (with code) …………………………………………………………………

    7. E-mail …………………………………………………………………………………………

    8. Date of Birth ………………………………………………………………………………….

    9. Religion ……………………..….……………………………………………………………..

    10. Nationality …………………………………………………………………………………….

    11. Marital Status …………………………………………………………………………………

    12. Passport No …………………………………………………………………………………...

    13. Nationality Identity Card No …………………………………………………………………

    14. Name of the Legal Guardian ………………………………………………………………….

    15. Nationality of the Legal Guardian ……………………...…………………………………….

    16. Address of the Legal Guardian ……………………………………………………………….

    17. Name, address, telephone no. and E-mail of the person to be notified in case of emergency

    a) In Bangladesh (if any ) ..………………………………………………………………….

    …………………………………………………………………………………………………

    b) In the country of Domicile ………………………………………………………………..

    …………………………………………………………………………………………………
    18. Have you applied for admission in any Bangladeshi Educational Institute earlier?

    …………………………………………………………………………………………………………

    19. If Yes, mention year, institute and decision ………………………………………………….

    …………………………………………………………………………………………………………

    …………………………………………………………………………………………………………

    20. Name of the course for which admission is sought…………………………………………...

    21. Education: Beginning with Matriculation/ Secondary School Certificate or its equivalent
    examination. (Copies of Certificates and Mark Sheets attested by the Ministry of Foreign
    Affairs are to be enclosed)

    Name of the Name of the Institute Year of Subjects Name of the


    Examination Passing Board /
    Certificate
    Issuing Authority

    SSC / Equivalent
    10th class

    HSC / Equivalent
    12th class

    22. Declaration:

    I hereby declare that the particulars given above are true to the best of my knowledge and belief,
    that I have made satisfactory arrangements for regular supply of funds for my expenditure in
    Bangladesh, and that I shall return to my country of domicile after completion or discontinuation of
    studies in Bangladesh.

    I further declare that I shall fully abide by the rules and regulations of the institution and any
    decision of the authority of the institution to which I may be admitted.

    ________________________________ _____________________
    Signature of the Parents/ Legal Guardian Signature of the applicant

    Name : Dated :
    Relationship with the applicant:

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