Science in Everyday Life
www.nvfoundation.com
Application Form for Admission to
MBBS / PG / MDS Programs
National Vidya Foundation
51, Dr. Abani Dutta Road, Howrah, WB - 711101
COURSE APPLYING FOR
MBBS PG (MD/MS) MDS
Applicants Passport Size Photo
Application for Admission to Ivano Frankivsk National Medical University, UKRAINE
Specialization ________________________________________________
Write in BLOCK LETTERS only
PERSONAL DETAILS
Surname Middle Name First Name Date of Birth D D Nationality Father's Name Correspondence Address M M Y Y Y Y Sex M F Passport Status : Issued
Applied for
City PIN STD code Mobile (Father) Email ID : Country Phone
State
Mobile (Student) Mobile (Mother)
ENCLOSURES
1. Demand draft payable to "National Vidya Foundation" of Rs. ____________ (D. D. No. _________________________) dated ____________ draw on_________________________________ Bank, payable in "Kolkata" as registration fee. 2. Photocopy of Class X mark sheet. Enclosed 3. Photocopy of Class XII mark sheet. Enclosed to be sent later. to be sent later. To be sent later
4. Photocopy of Graduate degree and mark sheet (for PG / MDS). Enclosed 5. Photocopy of first 2 pages and last 2 pages of passport. Enclosed
To be sent later
P.T.O.
DISCLAIMER / LEGAL NOTICE
1. Applicant and guardians should read and understand terms and conditions. If they need any clarity, they should discuss with National Vidya Foundation before filling up and submitting the application form. 2. Applicant & guardians should be aware that eligibility criteria for admission to MBBS for Indians is 50% in PCB (40% for SC/ST/OBC), pass in English and overall pass in class 12th Board Exam as prescribed by the Medical Council of India (MCI). Applicant should satisfy themselves that they meet the MCI eligibility criteria. 3. Applicant will submit original documents for verification / processing when called on to do so. 4. Applicant will make his own arrangement for issue of passport in time in
Application Form for Admission to
MBBS / PG / MDS Programs
National Vidya Foundation
51, Dr. Abani Dutta Road, Howrah, WB - 711101
COURSE APPLYING FOR
MBBS PG (MD/MS) MDS
Applicants Passport Size Photo
Application for Admission to Ivano Frankivsk National Medical University, UKRAINE
Specialization ________________________________________________
Write in BLOCK LETTERS only
PERSONAL DETAILS
Surname Middle Name First Name Date of Birth D D Nationality Father's Name Correspondence Address M M Y Y Y Y Sex M F Passport Status : Issued
Applied for
City PIN STD code Mobile (Father) Email ID : Country Phone
State
Mobile (Student) Mobile (Mother)
ENCLOSURES
1. Demand draft payable to "National Vidya Foundation" of Rs. ____________ (D. D. No. _________________________) dated ____________ draw on_________________________________ Bank, payable in "Kolkata" as registration fee. 2. Photocopy of Class X mark sheet. Enclosed 3. Photocopy of Class XII mark sheet. Enclosed to be sent later. to be sent later. To be sent later
4. Photocopy of Graduate degree and mark sheet (for PG / MDS). Enclosed 5. Photocopy of first 2 pages and last 2 pages of passport. Enclosed
To be sent later
P.T.O.
DISCLAIMER / LEGAL NOTICE
1. Applicant and guardians should read and understand terms and conditions. If they need any clarity, they should discuss with National Vidya Foundation before filling up and submitting the application form. 2. Applicant & guardians should be aware that eligibility criteria for admission to MBBS for Indians is 50% in PCB (40% for SC/ST/OBC), pass in English and overall pass in class 12th Board Exam as prescribed by the Medical Council of India (MCI). Applicant should satisfy themselves that they meet the MCI eligibility criteria. 3. Applicant will submit original documents for verification / processing when called on to do so. 4. Applicant will make his own arrangement for issue of passport in time in