SHEKHPARA EAJPUR, 24 PGS (N), W.B., 743424WEST BENGAL ELECTROPATHY MEDICAL COUNCIL Course: CEMS, DEMS, BEMS, MDEH, DEHM.ADMISSION FORM To the Principal, I request you kindly Admission Healthcare Admission FormSession :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 :Whatsapp No :F./m./ Relative Mob. No :Blood Group :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 College And Council.Submit Form