MCGM Medical Colleges
Registration Form
Session
*
2015-16
Course Family*
Post Graduate
Under Graduate
Course*
Select Course
Sub Course*
Student's Name
*
Date of Birth
Gender
Male
Female
Mobile No *
Email Address
*
Blood Group*
Select Blood Group
A-
B-
A+
B+
O+
O-
AB+
AB-
Guardian's Information
Salutation
Mr.
Ms.
Relationship
Select Relationship
Father
Mother
Guardian
Name
Permanent Information
Address *
City
*
Select City
New Delhi
Mumbai
Nagpur
Solapur
Pune
Gurgaon
State
*
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Delhi
Maharashtra
West Bengal
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Pin Code
*
Country
*
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India
Additional Information
Re-Apply
Source of Information
Facebook
Google Search
Hoarding
Newspaper
Word Of Mouth
Others
Remarks
Document Type
Select Document
Undergraduate mark sheet
HSC mark sheet
SSC mark sheet
PMT mark sheet
Reservation (SC/ST/OBC) certificate
Domicile Certificate (if applied for)
Student ID card (for lateral/re-applicant/transferred student)
Transfer Certificate (for lateral/re-applicant/transferred student)
Document Type
Select Document
Undergraduate mark sheet
HSC mark sheet
SSC mark sheet
PMT mark sheet
Reservation (SC/ST/OBC) certificate
Domicile Certificate (if applied for)
Student ID card (for lateral/re-applicant/transferred student)
Transfer Certificate (for lateral/re-applicant/transferred student)
Document Type
Select Document
Undergraduate mark sheet
HSC mark sheet
SSC mark sheet
PMT mark sheet
Reservation (SC/ST/OBC) certificate
Domicile Certificate (if applied for)
Student ID card (for lateral/re-applicant/transferred student)
Transfer Certificate (for lateral/re-applicant/transferred student)
Document Type
Select Document
Undergraduate mark sheet
HSC mark sheet
SSC mark sheet
PMT mark sheet
Reservation (SC/ST/OBC) certificate
Domicile Certificate (if applied for)
Student ID card (for lateral/re-applicant/transferred student)
Transfer Certificate (for lateral/re-applicant/transferred student)