MBBS ADMISSION FORM

(Session: 2021-2022)
Application for Bangladeshi Students
(Helpline: 01989598456, 01721019988)

General Information:

Applicant’s Name *
Email Address *
Father’s Name * Occupation * Mother’s Name * Occupation *

MBBS Admission Result 2021-2022:

Serial No * Roll No * Merit Position * Test Score * Merit Score *

Contact No:

Self * Parents * Relationship *
Permanent Address * Present Address * Date of Birth * Blood Group Nationality * National ID Card No
Passport No

Academic Record (10th Class/SSC/SSE/SLCE/O Level):

Board * Passing Year * Roll No * Reg. No * Grade Point *

Academic Record (12th Class/HSC/HSE/A Level):

Board * Passing Year * Roll No * Reg. No * Grade Point *

Person to be contacted in emergency:

Name * Relationship * Mobile No *

Please upload the following documents in PDF/JPG format:

Note: Maximum attachment size for Marksheet is not more than 5 MB each and Passport Photo is not more than 500 KB.

10th Class/SSC/SSE/SLCE/O Level Marks Sheets *
12th Class/HSC/HSE/A Level Mark Sheets *
MBBS Admission Result *
Passport Size Photo *

Bkash Payment information:

Send Money to 01737713329 or 01626250921 please send Tk 1020/- to the Bkash Nos given and fillup the information below with your MOBILE NUMBER and transaction ID

Bkash Payment Transaction ID * Bkash Payment Phone Number *

Submit Form:

Our Campus

The present campus of the college is located, 9 KM from The Hazrat Shahjalal International Airport, at Konia of Gazipur City ( near Boardbazar ), the medical college, including the hospital, stands on the Dhaka-Mymensingh highway-just outside the capital city.

The administrative offices and academic departments are housed in a campus surrounded by a picturesque lush green environment of the area.

The buildings are well furnished and suitably equipped to accommodate classrooms, seminars, dissection hall, laboratories, museum, library, students’ common rooms and snack shop.

MBBS Online Admission

MBBS ADMISSION FORM

Our Campus