SHEKHPARA EAJPUR, 24 PGS (N), W.B., 743424WEST BENGAL ELECTROPATHY MEDICAL COUNCIL EXAMINATION FORM ToThe Registrar of WBEMC.Sir / Mam, Examination FormI request you kindly register as a student of Course : year of :under these council particulars of the student is given below.Course :Name Of The Student (Block Letter) :Father’s / Husband Name :Mother’s Name:Permanent Address Village / Ward :P.O :P.S. :Dist :Pin :State :Date of Birth :Age :Sex :Cast :Religion :Aadhaar Card No :Nationality :Educational Qualification :Mobile No :Email ID :Institute name : 10 Admit Or 10 Mark Sheet :Choose File H.s. Mark Sheet :Choose File Aadhar Card Both Side :Choose File Photo :Choose File Signature Of Candidate :Choose File Free Deposit Receipt :Choose File Student should follow the rules and regulation of the council. Submit Form