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 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Session: Course under these council particulars of the student is given below.Name of the student block letter : *FirstLastFather’s / Husband name :Mother’s name:Permanent address village / ward *FirstMiddleLast *FirstLastPresent address Date of Birth * *FirstMiddleLastReligion :Aadhaar card no:Educational qualification : * Course no: of Mobile no:WhatsApp no F./M./ Relative Mob. No : Blood Group : *Submit Student Admission Form Session: Course: Name of the Student (Block Letters): Father’s / Husband’s Name: Mother’s Name: Permanent Address (Village/Ward): P.O.: P.S.: District: Pin: State: Date of Birth: Age: Sex: Male Female Other Cast: Religion: Aadhaar No.: Educational Qualification: Mobile No.: WhatsApp No.: Relative Mobile No.: Blood Group: Upload Photo: Upload Signature: Upload Documents (e.g., Marksheet, Aadhaar): 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