NIZHNY NOVGOROD STATE MEDICAL ACADEMY, RUSSIA
AND SOUTH ASIAN INSTITUTE OF TECHNOLOGY AND MEDICINE [SAITM] > Faculty of Medicine > Course Registration Form
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Title :*
Name in Full :*
Faculty :*
Course Name :*
Full-time / Part-time :*
Date of Birth :*
DD:   MM:   YYYY:
Nationality :*
Postal Address :*
 
Permanent Address :*
 
NIC / Passport Number :*
Home Phone Number :*
Mobile Phone Number :*
E-mail Address :*
 
G. C. E. A/L Results :*
Year :    Local Examination Foreign Examination
  Z-Score :  
 
Subject
Grade
 
 
 
 
Upload your A/L Resultsheet :*
   
Person to be contacted
in case of emergency :*
   
Whom did you contact?
(name of the marketing executive) : 
 
How did you come to
know about SAITM :
 
Course Fee
Payment Method :*
Full Payment Installments
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[For Office Use Only]
Batch Number :  
Student Registration Number :  
   
[Payment Details]
Registration Fee :  
Course Fee :  
Amount Paid on Registration :  
   
[Documents Submitted]
Copy of G. C. E. O/L Certificate :  
Copy of G. C. E. A/L Certificate :  
Copy of NIC / Passport :  
Copy(s) of Other Certificate(s) :  
   
[Aptitude Test Results (where applicable)]
Test Result(s) :  
   
Signature of Administration Officer :  
Date :  

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