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GOVERNMENT COLLEGE
MEDICAL INSTITUTE
(MBBS - RUSSIA / KYRGYZ REPUBLIC)
(MINISTRY OF EDUCATION & SCIENCE OF RUSSIA / KYRGYZ REPUBLIC)
Admission Application 2024-25
* Do You Have PROMO CODE ?
Yes
No
PROMO CODE :
* Full Name :
* Father's / Husband's Name :
* Mother's Name :
Curruspondance Address :
* Address :
* City :
Zip code :
* State :
Nationality :
Gender :
MALE
FEMALE
* Mobile 1 :
Mobile 2 :
* Email :(Email id will be used as your login username for this website)
* Date of Birth :
Birth Place :
* Religion :
Caste :
Sub-Caste :
Name Of University :
Details Of The Qualifying Examination Passed :
SUBJECT
12th Science Marks
NEET Marks
PHYSICS
CHEMISTRY
BIOLOGY
GRAND TOTAL
* Details Of Board And Address :
Name Of Institute / College With Address :
If Done B.Sc., Pleaase Give Details Of Examination Passed :
Subject / Marks / Roll No. & Year Of Passing / Name Of University etc.
Month & Year Of Passing :
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Select
Came to know by :
NEWSPAPER
HOARDING
STUDENTS
SMS
WEBSITE
FRIENDS / RELATIVES
Information gained from :
Dr. Rohit Agarwal
Dr. Priya Varshney
Dr. Dipesh Rasal
Mr. Mahendra Chavan
Other
* Do You Have Passport ?
Yes
No
Passport Number :
Date of Issue :
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Date Upto Valid:
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* Installment :
65000
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