Current Information -4

To

The Director

Dr. Maity Educational & Medical Research Institute Pvt. Ltd.

166/C/515/1 Lake Gardens

Kolkata – 700 045

Sir/Madam

I am interested to get admission in Rainbow (a unit of Dr Maity Educational& Medical Research institute Pvt Ltd.) for Mock Tests Series of NEET 2018. My C.V./ bio-data and other relevant particulars are given below for your kind perusal. Hope you will consider my candidature and oblige.

Date :-                                                                                                              Yours faithfully,

……………………………………………..                           …………………………………………………….

Signature of the guardian                                             Signature of the applicant

( Fill in block Letters )

 Paste a colour Photograph

Name of the candidate  ………………………………………………………………………..

Communication  address ……………………………………………e-mail ID……………………………………………………..Pin code……………………………… Land Mark (School/Club/etc)………………………………………..Communication Phone No of (a) Student…………………………….. (b) phone no of Guardian……………………….(a) student’s Date of birth……………………… (b) Sex…… (c) Category – Gen/SC/ST/PH/OBC(state/central)………..Father’s / Guardian’s name……………………………………………Mother’s name……………………………………………….

Choice of Curriculum(s) : (a) NEET Mock Test at centre    /   (b) NEET Mock Test by e-mail

 (a) No. of times appearing for NEET …………. (b) Rank (2017) ……………Marks………….

Application FORM NO. (i) NEET-2018 ……………………. (ii) AIIMS-2018 ………….………

 (iii) Others ………………….

 NEET 2018 Application Password …………………………………………………..

Aadhar Card No. ………………………………………

Declaration

We declare that the information furnished are true to the best of our knowledge & belief. We have no objection, if candidate’s name & photograph are used for publicity in media. I will send a photocopy of Admit Card of the All the medical Entrance Examinations appearing before the Final Examination.

…………………………………………………………….       …………………………………………………..

Signature of the guardian                                                             Signature of the applicant

N.B. : Without any proof of getting Free Mock Tests,a copy of NEET 2018 application Confirmation page, Xerox copy of Madhyamik Admit Card, Communication Phone Numbers, Colour Photograph and Aadhar Card of student,  the ADMISSION will not be granted.

 

*******

 

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