Apply Online – State College Of Health Sciences

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Semester

Program

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Personal Information

Student Name *

Date of
Birth *

Gender *

Marital
Status

Religion

Blood
Group

Nationality

National ID
No.

Email

Mobile

Phone

Father’s
Name *

Mobile No.

Email

Occupation

Organization
Name

Designation

Organization
Address

Mother’s
Name *

Mobile No.

Email

Occupation

Organization
Name

Designation

Organization
Address

Present Address

House No.

Road Name

Post
Office

Post Code

Country

Road No.

Area
/ Village

Police
Station

District /
City

Permanent Address

House No.

Road Name

Post
Office

Post Code

Country

Road No.

Area /
Village

Police
Station

District /
City

SSC or Equivalent

Examination Name *

Institution Name *

Group

Grade

GPA /
CGPA *

GPA without Additional
Subject

Board

Roll
No.

Registration No.

Session

Passing Year

HSC or Equivalent

Examination Name
*

Institution Name *

Group

Grade

GPA
/ CGPA *

GPA without Additional
Subject

Board

Roll
No.

Registration No.

Session

Passing Year

Other Degrees

Degree
Name

Institution
Name

GPA / CGPA

Passing
Year

Session

Degree
Name

Institution
Name

GPA / CGPA

Passing
Year

Session

Have you got admitted in any other institution for the same degree?

Institution
Name

Completed
Credit

Grade
Obtained