Nepal Medical College Pvt.Ltd.(NMC)
Attarkhel,JorpatiV.D.C
GPO.Box 13344,Kathmandu,Nepal
Ph:4911009,Ext-604
Fax:977-01-4912118,
E-mail:principal@nmcth.edu
APPLICATION FOR SELECTION TO
THEMBBS/BDS/Bsc.Nursing PROGRAM 2014-2015

 

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Form No …………………………

For Office Use Only

STUDENT TYPE

Resident NepaleseFee Paying
SAARCFreeship
Extra SAARC
NMC Roll No.K.U.RegdNo.

PERSONAL DETAILS OF APPLICATION (Write in Capitals)


MR MISS MRS MS
Surname or Family
First name
Middle Name

Male
Female
For Nepalese Student Citizenship
Citizenship No
Dist
Date of Issue
Place of Issue
For SAARC & EXTRA SAARC STUDENT
Date of Issue
Place of Issue
Visa Category
Valid Up to
Date of Birth in B.S
Date of Birth in A.D

FATHER’S FULL NAMEFATHERS OCCUPATION (SPECIFY EXACTLY WITH DESIGNATION)
MOTHER’S FULL NAMEMOTHER’S OCCUPATION (SPECIFY EXACTLY WITH DESIGNATION)

 

PERMANENT

For NMC CORRESPONDENCE(IF DIFFERENT FROM PERMANENT)

Address

House Name

House Number

Ward No

VDC/Municipality/Locality

Town/City

District

Country

Tel No

Fax No

P.O.Box No

E-Mail


N.B: All correspondence will be done at the above address and if letters and other items are not delivered due to failure to provide the correct information’s. NMC will not be held responsible.


NAME OF LOCAL GUARDIAN
ADDRESS IN KATHMANDU
Telephone No
For Emergency Telephone Number to be contacted by NMC

Examination

School/College

Year of Passing

RollNo.

Aggregate of Total Marks

SLC Class 10
OLevel Other
10+2 A Level
ISc PCL in General Science

 

3.KUMET


APPLICANT MUST ATTACH PHOTOCOPIES OF THE FOLLOWING GTESTIMONIALS

1. Marksheet of SLC/Class 10 orO Level or equivalent
2. School Leaving Certificate(Character Certificate)
3. Mark-Sheet o f10+2 or I.Sc.or ALevel or PCL G.Sc or equivalent
4. College Leaving Certificate (Character Certificate)
5. Provisional Certificate/Certificate of 10+2 orI.SC or Alevel of PCL G.Sc
6. Migration Certificate or after 10+2,I.Sc,Alevel,PCL equivalent from Board or University
7. Citizenship Certificate/Passport
8. Equivalency Certificate(For all Qualification Done from Outside Nepal).
9. Eligibility Certificate issued by the Medical Council of INDIA(for Indian Students only).
Note*: Make pdf or zip all above Gtestimonials before uploading ( file size limit 5mb )
Upload Gtestimonials
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UNDERTAKING BY THE STUDENT

I hereby solemnly and sincerely affirm that the statements and information furnished by me in this application form are true and correct and I have not withheld any information. If it is found at a later date that any information furnished herein is fraudulent, incorrect or untrue, I realize that I am liable to prosecution and admission to the program shall be cancelled. I will abide by the rules and regulations of Nepal Medical College and Kathmandu University. I will not be involved in any political activity, drug abuse or any activity leading to damage of the reputation Nepal Medical College.


PRINCIPAL of NMC shall remain the highest authority to decide on matters related to me.

Date2016-12-09 Signature of Applicant

SOLEMAN UNDERTAKING BY THE PARENTS

We hereby solemnly and sincerely affirm that our daughter/son (Name of the Applicant) will abide by the Rules and Regulation of Nepal Medical College.

The college authority shall have the right to take any disciplinary action against our daughter/ son including expulsion from the College in case our daughter/son is found to be the cause of indiscipline/unrest in the college or hospital, or found to behave in an unmannerly in the College, Hospital and Hostel.

PRINCIPAL of NMC Shall remain the highest authority to decide on matters related to my children.

Signature of the Father Signature of the Mother
Name of the Father Name of the Mother
Date2016-12-09 Date2016-12-09
Email Address
Address
Phone

NEPAL MEDICAL COLLEGE PVT. LTD. (NMC)
Attarkhel, Jorpati V.D.C
G.P.O.Box 13344, Kathmandu, NEPAL
Ph : 4911008 Fax: 977-01-4912118
E-mail: principal@nmcth.edu
Website: http://www.nmcth.edu
NMC INTERVIEW NOTIFICATION FOR MBBS/BDS/BSc Nursing 2014-2015

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Name of Applicant
Program Applied for: MBBS BDS BSc. Nursing
Signature of the Applicant
For NMC Official Use Only
INTERVIEW DATE
………………………………
TIME
……………………………….

IMPORTANT NOTICE:

1. All the applicants must reach NMC on the date and time specified overleaf.
2. Interview shall be held only on the date and time mentioned overleaf.
3. All the applicants must be present with the original certificates along with their parents.
4. Failure to comply with the instructions may disqualify the applicant admission.
5. Final decision will be of the Admission Committee.

Rules and Regulations of Nepal Medical College (NMC) that must be strictly followed by medical student admitted in the MBBS Program of NMC

1.Students must maintain strict discipline at Nepal Medical College, Hospital and other Community Satellite Health Centers.
2.Academic matters will be governed by Kathmandu University.
3.Students will have to pay the tuition fee according to the decision made by the management.
4.Transport charge, accommodation charge, everyday food and personal expenditure will have to be paid by the individual student and are not included in the fee structure paid to NMC. Expenditure during the Community Field Experience placement must be paid by the individual student, and NMC will not be held responsible for meeting the expenditure incurred in travel, food, and lodging of students during such programs.
5.All students must attend classes (practical/clinical) wearing the NMC uniform, and must respect the teachers and staff of NMC. They must be polite to all including their colleagues, patients, relatives of patients and obey all the NMC rules and regulations.
6.Students are strictly prohibited from being involved in any political activity and formation of Students Union or Association under political parties is strictly prohibited at NMC, failing which the concerned student may be expelled from the college.
7.Students must show respect to the Faculty Medical Doctors, Technical Staff, Nursing Staff, Administrative and Ancillary Staff, Patients and their Relatives/Friends attending NMCTH and the general public at large. Complaints received against any NMC student will be dealt with sternly by the Principal of NMC, and disciplinary action will be taken against such students if found guilty.
8.Students must live in the hostel throughout the course of the MBBS program and must obey the rules and regulations of the respective hostels. Substance Abuse is strictly prohibited in NMC, and if found guilty will be dealt with according to the law of the land.
9.No student will cause damage to NMC property; any damage done accidently or unknowingly must be reported to NMC administration immediately, failure to do so will lead to penalization.
10.All parents and local guardians are requested to meet the Chief of Student’s Welfare and Program officer to enquire on the progress made by their wards. Whenever requested, parents or guardians must meet the requesting authority.

We the undersigned declare that we have carefully read the Rules and Regulations of NMC. We also hereby give our consent in free and conscious mind to Nepal Medical College, to execute its rules and regulations strictly for the interest of maintaining a high standard of academic excellence at NMC, and vow not to cause any hindrance in preventing NMC in taking any necessary action, nor shall we act against the decision of NMC. In case my son/daughter is found guilty of any charge during the course of study, we will abide the decision of NMC, Which may even be expulsion from the MBBS program.


Signature of the Applicant
Name
Date 2016-12-09
Signature of the Father of the Applicants
Name
Date 2016-12-09
Signature of the Mother of the Applicants
Name
Date 2016-12-09