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NIL RATAN SIRCAR MEDICAL COLLEGE (NEW ADMISSIONS)

Student's Course Category*

Course*

Name of the Student*

Gender*

Father's Name/Mother's Name/Guardian's Name*

Academic Session*

Student's Cateogry (Mention Caste Category)*

Alloted Category*

Roll No. of the Entrance Examination*

Rank (AIR/GMR as applicable)*

Date of Birth*

Admission Fees

Union Fees

Tuition Fees

Caution Money

Annual Fee

Log Book Fees

Email*

Amount*

Mobile No*

Verify Code*

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