First-Year MBBS Admission Portal

Online Admission Application Form

Submit your First-Year MBBS application online and receive an instant printable Applicant Acknowledgement Slip.

Dhaka Central International Medical College (DCIMC)

Application Form for First-Year MBBS Course

Need help? Call Admission Desk: +880 1409-967343

Applicant Category *

Academic Session *

Accommodation Preference *

1. Candidate & Family Particulars

Name of the Candidate (As per SSC/10th Certificate) *

Date of Birth *

Age

Nationality *

Place of Birth

Religion

Father’s Name *

Father’s Occupation

Father’s Yearly Income

Mother’s Name *

Mother’s Occupation

Mother’s Yearly Income

Candidate / Guardian Mobile / WhatsApp *

Email Address *

Present Address *

Permanent Address *

2. Local / Legal Guardian Information

Local Guardian Name (in Dhaka, if any)

Relation with Candidate

Local Guardian Phone & Address

3. Academic Qualifications & MBBS Admission Test Result

SSC / 10th / O-Level GPA *

SSC Passing Year *

HSC / 12th / A-Level GPA *

HSC Passing Year *

GPA / Marks in Biology (HSC / 12th) *

College / Institution Last Attended *

MBBS Admission Roll / NEET Roll

Admit Card Serial No.

Test Score

Merit Score

Merit Position

Quota Category

Passport Number & DGME Foreign Tracking ID (For Foreign Applicants)

4. Supporting Document Uploads (JPG / PNG / PDF, Max 5 MB each)

1. Applicant Passport-Size Photo

2. MBBS Online Applicant’s Copy

3. MBBS Admission Test Admit Card

4. SSC / 10th / O-Level Mark Sheet Copy

5. HSC / 12th / A-Level Mark Sheet Copy

Declaration: I hereby declare that all particulars furnished above are true and accurate to the best of my knowledge. Original certificates and mark sheets will be produced at the time of physical verification at the DCIMC Admission Office.