Admission Form


Admission Application Form and Details. Download Form


The Director

Dr. Maity Educational & Medical Research Institute Pvt. Ltd.
166/C/515/1 Lake Gardens

Kolkata – 700 045


I am interested to get admission in ‘Rainbow’ [a unit of Dr. Maity Educational & Medical Research Institute Pvt. Ltd.] as per my choice given below for the year 20…… I have carefully studied the rules & regulations of your institution printed overleaf and agreed to abide by these rules. My C.V./ bio-data and other relevant particulars are given below for your kind perusal.

Yours Faithfully


Signature of the guardian

Signature of the applicant

* Fields are Mandatory
Name of the candidate*
Communication Address*
E-mail ID
Pin code*
Land Mark (School/Club/etc)
Phone No*
Date of birth*
Father’s / Guardian’s name*
Mother’s name*
Father’s / Guardian’s occupation and designation (If any)
Choice of Curriculum*
Duration of opted course*
No. of times appearing for entrances
A) Rank (If any)
B) Where did you study last year for entrances
Present status of studentship
Name of the institution last attended
Guardian’s observation
Daily engagement in study
Avg Hour
Max Hour
Interest in Sc. subject with preference
% of Marks obtained in Madhyamik or eqvt
% of Marks obtained in HS or eqvt
Source of information of this centre

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