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APPLICATION FORM - CERTIFICATES REQUEST (STEP 1 OF 3)


 

ACADEMIC DETAILS

Registration No *

Index No (MED No) *

Batch No *

Full Name *

 

CERTIFICATES REQUEST

Degree Programme *

Certificates *

(Select necessary certificates on the
relevant category)

For MBBS Degree

 

For Human Biology / Medical Laboratory Sciences / Nursing / Pharmacy Degrees

 

CONTACT DETAILS

Contact No *

E-Mail *

 

ADDITIONAL INFORMATION

If you need to send any other additional information, please mention here.

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