Beruflich Dokumente
Kultur Dokumente
Application No.:
Bank Reference No.:
1041604321
1126221269
1997-09-26
Birthdate
Male
India
Single
Sex
Nationality
Civil Status
Ago Medical and Educational Center - Bicol Christian College of Medicine, Legazpi City, Albay
Name of College Graduating From
2 X 2 ID Picture
Albay
Philippines
BS in Medical Technology
2015-2016
contact information
AGO MEDICAL AND EDUCATIONAL CENTER(MEDICAL SCHOOL) RIZAL STREET, OLD ALBAY,LEGAZPI CITY,ALBAY, Legazpi City, Albay 4500
Philippines
Home Address
AGO MEDICAL AND EDUCATIONAL CENTER(MEDICAL SCHOOL) RIZAL STREET, OLD ALBAY,LEGAZPI CITY,ALBAY, Legazpi City, Albay 4500
Philippines
Mailing Address
+63-528205877
Landline
N0267908
Passport No
+63-9233050897
ashishnagrajswaroop@gmail.com
Mobile
BANGALORE
Expiry Date
Place of Issue
3. Check your email (including your spam mailbox) after two (2) business days for your payment confirmation email. You may also visit the NMAT website to verify
the status of your NMAT application and to download the NMAT Practice Set after payment has been confirmed.
4. Visit the NMAT website two weeks before the test date to know your room assignment and to download your Examination Permit.
5. Affix your signature on the certification below:
I hereby certify that I have read, fully understood, and accepted all the information, terms and conditions specified on the NMAT Bulletin of Information and on
the NMAT website www.cem-inc.org.ph/nmat, including, among others, the NMAT policies on refund of test fees, on cheating or improper test-taking behavior in
any manner or form, and on failure to take or complete the test on the test date and test center indicated on this Form. I further certify that all information I gave
on this Form is true and correct to the best of my knowledge and that any misinformation shall constitute grounds for my disqualification from taking the NMAT
or invalidation of my NMAT results.
Applicants Signature
Date Signed
Please affix your signature on the space provided below to confirm the identity and academic status of the NMAT applicant.
Ago Medical and Educational Center - Bicol Christian College of Medicine, Legazpi City, Albay
I hereby certify that the person in the picture above can graduate from ________________________________________________________________
BS in Medical Technology
2015-2016
with a college (bachelors) degree of/in ____________________________________________________________
by the end of school year ______________.
2016-2017
He/She can apply for admission to any Philippine medical college in the next schoolyear ________________.
Signature & Printed Name of School Head
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Designation
Date Signed