Kumudini Women's Medical College

Upload Admission Result File*
(Format: yourroll_result.png or yourroll_result.jpg)

Session*

Roll No (Govt)*

Test Score*

Merit Score*

Merit Position*

Upload Image*
(Format: yourname_yourroll.png or yourname_yourroll.jpg)

Upload Signature*
(Format: yourname_yourroll_01.png or yourname_yourroll_01.jpg)

Name*

Date of Birth*

Father's Name*

Father's Profession*

Mother's Name*

Mother's Profession*

Name of Legal Guardian*

Legal Guardian and Candidate Relationship*

Nationality*

Marital Status*

Email*

Phone*

Short description of extra curricular activities*

Present Address

Village/Area*

Post Office*

Postal Code*

Police Station*

District*

Permanent Address

Village/Area*

Post Office*

Postal Code*

Police Station*

District*

Exam*	Name of Institution*	Board*	Year of Passing*	GPA*	GPA (Biology)*

Student Quota*
General Quota
Poor Quota
Freedom Fighter Quota

Payment Method*

Payment Transaction No* **Note: Please pay BDT 1030 only and collect your transaction number. For Rocket at 017300901874; For Bkash at 01730090187.

Click here to open/download poor form.

I do hereby affirm that the information given above is all true. If any information is found to be false or fictitious Kumudini Women's Medical College reserves the right to take any legal action. I further affirm that I will abide by the rules of the College or rules made in future by the Government of Bangladesh/Bangladesh Medical & Dental Council/Dhaka University and Kumudini Women's Medical College.

Application for BDS Admission

Admission Information

Personal Information

Address

Present Address

Permanent Address

Educational Information

Additional Information