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Government of the People’s Republic of Bangladesh (Ee | ication form for Foreign Students seeking ‘Admission in Madica/Dental Coles in Bangladesh Tobe filedin by te Minty of Hea & Famiy Weta 8 enim 1 As for a pornble the etl, exces the senature cour ofr shouldbe typed 2. Separate Sheets together wth appropiate te my Subject tor propose sy be atached if pace provided found instil. 3 Alston tet be submited nwt to the one afrecaptot Mistry of Heath & Fama Welt, Gort. ofthe seman People’s Republe of Sungadesh through the Sanlsssh plate representative nthe county of the candidate's domi. If the proposed » poleten name sariatonicn pune on ween seen poor the ot of gate vo ten 2 cry ordonte openonto ed through the Mnsry of Foreign fife of that ‘courte of domi nce 4 AML cortices and marksheets sentialy be 3 attests bythe Foreign Minsy of th repectve » fountries of the candidates’ witout! which no qa ‘pletion wil be enteranes. 5. The applicant must enclose recep Recommendation oft on-efundable Telegraphic Transie (F. 1) of fanglcesnseyof S$ 70607 6 Foreign (nremec ot cotralagreemert 3 Fala of he Codidat (labo eters: ae sistrs other Name: Full adres to which communieaton maybe sent Date, Place & Country of Beth nnn Pace & Country dome by natonaisy : ‘umber and Date of Passport or any ote avel ‘Document fan, hld by the apliant 4 student’ Maile number and Ema Adress Name ot egal gran ) Navonatyoflga evan kes of gs aaraan - Name and address of person tbe noted Incase ofemereeny 2) inBangladesh 1b) Inthe country of domi 2) Have you applied for arison nan educational isittion in Bangladesh exer, byes gv ear and desi, fan, communicates to you: Name ofthe course to which edison is sought Inte: candidate who desires tobe conered for mare than ene course shoul sort seperate application foreach course) ae ofnatutions(n ord of preference) to which admissions desired Hy a 3 cate ang wh Mato ut emt aptamer “mea vari y ange Gowen oye sch conor dtr of sas gh. tar cae | i ie lb

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