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On Demand Exam Form

wbemc.in > On Demand Exam Form

SHEKHPARA EAJPUR, 24 PGS (N), W.B., 743424

WEST BENGAL ELECTROPATHY
MEDICAL COUNCIL

ON DEMAND EXAM FORM

To
The Registrar of WBEMC.
Sir / Mam,

On Demand Exam Form

I request you kindly register as a student of Course :

year of :

under these council particulars of the student is given below.

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 :

Photo :

Choose File

Signature Of Candidate :

Choose File

Admit Card :

Choose File

Supply Mark Sheet. :

Choose File

Free Deposit Receipt :

Choose File

Student should follow the rules and regulation of the council.

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