Tairunnessa Memorial Medical College & Hospital

Konia (Targach), Board Bazar, Gazipur, Phone No: 01711730878, 01787028828

Fax: 880-2-8316332, E-mail: tmmch@citechco.net, Web: www.tmmch.com

MBBS ADMISSION FORM

(Session: 2021-2022)
Application for Bangladeshi Students
(Helpline: 01989598456, 01721019988)

General Information:

Applicant’s Name *
Email Address *
Father’s Name * Occupation * Mother’s Name * Occupation *

MBBS Admission Result 2021-2022:

Serial No * Roll No * Merit Position * Test Score * Merit Score *

Contact No:

Self * Parents * Relationship *
Permanent Address * Present Address * Date of Birth * Blood Group Nationality * National ID Card No
Passport No

Academic Record (10th Class/SSC/SSE/SLCE/O Level):

Board * Passing Year * Roll No * Reg. No * Grade Point *

Academic Record (12th Class/HSC/HSE/A Level):

Board * Passing Year * Roll No * Reg. No * Grade Point *

Person to be contacted in emergency:

Name * Relationship * Mobile No *

Please upload the following documents in PDF/JPG format:

Note: Maximum attachment size for Marksheet is not more than 5 MB each and Passport Photo is not more than 500 KB.

10th Class/SSC/SSE/SLCE/O Level Marks Sheets *
12th Class/HSC/HSE/A Level Mark Sheets *
MBBS Admission Result *
Passport Size Photo *

Bkash Payment information:

Send Money to 01737713329 or 01626250921 please send Tk 1020/- to the Bkash Nos given and fillup the information below with your MOBILE NUMBER and transaction ID

Bkash Payment Transaction ID * Bkash Payment Phone Number *

Form Test

Tairunnessa Memorial Medical College & Hospital

MBBS ADMISSION FORM