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Bangladesh College of Physicians and Surgeons (BCPS)
67, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka-1212, Bangladesh
Application for appearing FCPS Part-II (Final) Examination 

BMDC Registration No: A37647
ID:9839
For Official Use Only

Eligible  

Not eligible  

FCPS-I/MD/MS/MRCP Qualified  

Training Certificate Accepted  

Logbook Accepted  

Dissertation/Thesis Accepted  

Dissertation Pending  

Debarred Candidate  

Other Comments ...............

Money Receipt No. 88

Speciality Obstetrics & Gynaecology

Speciality Code 30

1. Personal Information

Applicant's Name KAMRUN NAHER

Father's Name M.A. KARIM

Mothers' Name MONJILA BEGUM

Date of Birth Thursday, February 2, 1978

Nationality Bangladeshi

Mailing Address House-25/A, Road-2/7, Upa Katha, Chandmia Housing, Mohammadpur, Dhaka.

Permanent Address House-25/A, Road-2/7, Upa Katha, Chandmia Housing, Mohammadpur, Dhaka.

Contact No. (Res.)

Mobile No. 01830305475

Email dr_jahirulhc@yahoo.com

   

2. Academic Identity

BMDC Reg. No A37647

Valid Upto 27/07/2024

Year of Passing MBBS/BDS 2003

Name of College Dhaka Medical College, Dhaka
    

3. Enrollment Identity

a. Record of Passing FCPS-I Examination:

Year: 2006 Session: January

Roll (Last 4 digit): 3415 Subject: Obstetrics & Gynaecology

b. Record of Previous FCPS-II/MD/MS/MRCP examination:

Have you apeared in FCPS-II No

Last appeared for FCPS-II (if
Year: , Session: , Roll: 0, Subject:
any)

c. Record of Log Book:

Have you submitted Log Book Yes

If yes, Log Book covered the
16/04/2003 to 30/06/2006
period of training

d. Record of Dissertation/Thesis:

Date of Submission of
04/07/2009
Dissertation/Thesis

Acceptance of
Yes
Dissertation/Thesis

e. Record of Training:

Total persiod of training (month) 36

Last Training Institute: Shaheed Suhrawardy Medical College, Dhaka

Last Trainer's Name: Prof. Dr. Sharmin Rahman

Course Institute: BSMMU

Chairman/Head of the Dept.: Prof. Dr. Anwar Hossain

Type of Candidate: Govt

Present Employment Institute: National Institute of Mental Health & Research, Sher-e-Bangla Nagar, Dhaka.

Head of the Institute: N/A

   

4. Employment Identity

Employment Type Government

Code No (if Govt. Employee) 124683

Present Designation Assistant Registrar

Institute Name NIRCH

Working Address Sher-E-Bangla Nagar, Dhaka.

   

5. Training Record

Duration From Duration To Speciality Name of Institute

16/04/2003 15/10/2003 Obstetrics & Gynaecology Dhaka Medical College, Dhaka

01/01/2005 30/06/2005 Obstetrics & Gynaecology BSMMU

01/01/2006 30/06/2006 Obstetrics & Gynaecology Shaheed Suhrawardy Medical College, Dhaka

01/07/2006 31/12/2006 Obstetrics & Gynaecology Dhaka Medical College, Dhaka

01/07/2007 30/06/2008 Obstetrics & Gynaecology Dhaka Medical College, Dhaka

   

   

   

   

Signature of the Head of the Institute/Chairman of the Dept.
Applicant’s Signature 
(Applicable for applicants appearing with course or through proper channel) 
Date : ………………………………
Date : ………………………

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