{"id":2733,"date":"2019-12-08T05:51:15","date_gmt":"2019-12-08T05:51:15","guid":{"rendered":"http:\/\/projects.wezapps.com\/shahabuddinmedical\/?page_id=2733"},"modified":"2023-05-24T10:39:23","modified_gmt":"2023-05-24T10:39:23","slug":"apply-online","status":"publish","type":"page","link":"https:\/\/shahabuddinmedical.org\/college\/apply-online\/","title":{"rendered":"Apply Online"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css=&#8221;.vc_custom_1575802758236{padding-top: 6vh !important;}&#8221;][vc_column]  \r\n\t<h2 class=\"heading\">APPLICATION FORM FOR ADMISSION INTO 1ST YEAR MBBS COURSE<\/h2><hr class=\"heading_space\"> \r\n    [\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1575784847802{padding-top: 6vh !important;}&#8221;][vc_column][vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2732-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2732\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/college\/wp-json\/wp\/v2\/pages\/2733#wpcf7-f2732-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2732\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2732-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<style>\n<\/style>\n<div id=\"responsive-form\" class=\"clearfix\">\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-sm-3\">\n\t\t\t<p><label> 1) Name (required)<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-sm-3\">\n\t\t\t<p><label> First Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-sm-3\">\n\t\t\t<p><label> Middle Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-sm-3\">\n\t\t\t<p><label> Last Name <span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-sm-3\">\n\t\t\t<p><label> Other Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"other-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-name\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-sm-4\">\n\t\t\t<p><label>Date of Birth <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"birthdate\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birthdate\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-sm-4\">\n\t\t\t<p><label>Place of Birth <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"place-birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"place-birth\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-sm-4\">\n\t\t\t<p><label>Citizenship <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"citizenship\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"citizenship\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-sm-6\">\n\t\t\t<p><label>Gender : <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"gender\" value=\"Male\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-sm-6\">\n\t\t\t<p><label> Marital Status : <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"marital\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"marital\" value=\"Married\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Married<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"marital\" value=\"Single\" \/><span class=\"wpcf7-list-item-label\">Single<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-sm-3\">\n\t\t\t<p><label> 2) Parent\u2019s Detail (required)<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-sm-6\">\n\t\t\t<p><label>Father\u2019s Name <span class=\"wpcf7-form-control-wrap\" data-name=\"fathers-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fathers-name\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-sm-6\">\n\t\t\t<p><label>Occupation <span class=\"wpcf7-form-control-wrap\" data-name=\"fathers-occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fathers-occupation\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-sm-6\">\n\t\t\t<p><label>Mothers\u2019s Name <span class=\"wpcf7-form-control-wrap\" data-name=\"mother-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mother-name\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-sm-6\">\n\t\t\t<p><label>Occupation <span class=\"wpcf7-form-control-wrap\" data-name=\"mother-occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mother-occupation\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-12\">\n\t\t\t<p><label>Special information : <span class=\"wpcf7-form-control-wrap\" data-name=\"special-information\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required full\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"special-information\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>3) Mailing Address <span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required full\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>4) Permanent Address <span class=\"wpcf7-form-control-wrap\" data-name=\"permanent-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required full\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"permanent-address\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-4\">\n\t\t\t<p><label>Home Phone <span class=\"wpcf7-form-control-wrap\" data-name=\"home\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"home\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-4\">\n\t\t\t<p><label>Parent\u2019s Work Phone <span class=\"wpcf7-form-control-wrap\" data-name=\"parents-work\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"parents-work\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-4\">\n\t\t\t<p><label>Other <span class=\"wpcf7-form-control-wrap\" data-name=\"other\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"other\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>5) Are you a Dependent<span class=\"wpcf7-form-control-wrap\" data-name=\"dependent\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dependent\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dependent\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-12\">\n\t\t\t<p><label>Name and Address of person who will be paying your tuition and other fees:<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Name <span class=\"wpcf7-form-control-wrap\" data-name=\"name-tution\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"name-tution\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Mailing Address <span class=\"wpcf7-form-control-wrap\" data-name=\"address-tution\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-tution\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-4\">\n\t\t\t<p><label>Home Phone <span class=\"wpcf7-form-control-wrap\" data-name=\"tution\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tution\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-4\">\n\t\t\t<p><label>Work Phone <span class=\"wpcf7-form-control-wrap\" data-name=\"tution-work\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tution-work\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-4\">\n\t\t\t<p><label>Other <span class=\"wpcf7-form-control-wrap\" data-name=\"tution-other\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tution-other\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>Relationship with applicant <span class=\"wpcf7-form-control-wrap\" data-name=\"rel-tution\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rel-tution\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>6) Have you ever been dismissed, suspended or expelled from any institution?<span class=\"wpcf7-form-control-wrap\" data-name=\"dismiss\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dismiss\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dismiss\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>If yes, Described briefly or attach a statement <span class=\"wpcf7-form-control-wrap\" data-name=\"dismiss-reason\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dismiss-reason\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>7) Academic Quantification:<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>SSC\/O Level\/10th Grade<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Institute <span class=\"wpcf7-form-control-wrap\" data-name=\"ssc-institute\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ssc-institute\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Year <span class=\"wpcf7-form-control-wrap\" data-name=\"ssc-year\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ssc-year\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Board <span class=\"wpcf7-form-control-wrap\" data-name=\"ssc-board\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ssc-board\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Subjects <span class=\"wpcf7-form-control-wrap\" data-name=\"ssc-subjects\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ssc-subjects\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Address <span class=\"wpcf7-form-control-wrap\" data-name=\"ssc-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ssc-address\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Total Marks\/GPA <span class=\"wpcf7-form-control-wrap\" data-name=\"ssc-gpa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ssc-gpa\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Subjects <span class=\"wpcf7-form-control-wrap\" data-name=\"ssc-subjects\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ssc-subjects\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>HSC\/A Level\/12th Grade<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Institute <span class=\"wpcf7-form-control-wrap\" data-name=\"hsc-institute\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hsc-institute\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Year <span class=\"wpcf7-form-control-wrap\" data-name=\"hsc-year\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hsc-year\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Board <span class=\"wpcf7-form-control-wrap\" data-name=\"hsc-board\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hsc-board\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Division\/Grade <span class=\"wpcf7-form-control-wrap\" data-name=\"hsc-grade\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hsc-grade\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Address <span class=\"wpcf7-form-control-wrap\" data-name=\"hsc-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hsc-address\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Marks in Biology (Theo+Practical) <span class=\"wpcf7-form-control-wrap\" data-name=\"hsc-biology\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hsc-biology\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Total Marks\/GPA <span class=\"wpcf7-form-control-wrap\" data-name=\"hsc-gpa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hsc-gpa\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label> Division\/Grade <span class=\"wpcf7-form-control-wrap\" data-name=\"hsc-grade\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hsc-grade\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>8) Merit Scholarship, Other Academic Honors and Awards <span class=\"wpcf7-form-control-wrap\" data-name=\"merit\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"merit\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<div class=\"vc_col-md-6\">\n\t\t\t<p><label>9) Bond From the Student and Guardian <span class=\"wpcf7-form-control-wrap\" data-name=\"bond\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"bond\" \/><\/span><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t\t<p><label> <\/label>\n\t\t<\/p>\n\t\t<div class=\"vc_col-md-12\">\n\t\t\t<p>Upload Your Picture (File Type : jpg or png and Size : Max 1 MB] <span class=\"wpcf7-form-control-wrap\" data-name=\"picture\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.png\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"picture\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"vc_row \">\n\t<\/div>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>\n&nbsp;[\/vc_column_text][\/vc_column][\/vc_row]<\/p><\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1575802758236{padding-top: 6vh !important;}&#8221;][vc_column][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1575784847802{padding-top: 6vh !important;}&#8221;][vc_column][vc_column_text]&nbsp;[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-2733","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/shahabuddinmedical.org\/college\/wp-json\/wp\/v2\/pages\/2733","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shahabuddinmedical.org\/college\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shahabuddinmedical.org\/college\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shahabuddinmedical.org\/college\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/shahabuddinmedical.org\/college\/wp-json\/wp\/v2\/comments?post=2733"}],"version-history":[{"count":7,"href":"https:\/\/shahabuddinmedical.org\/college\/wp-json\/wp\/v2\/pages\/2733\/revisions"}],"predecessor-version":[{"id":2752,"href":"https:\/\/shahabuddinmedical.org\/college\/wp-json\/wp\/v2\/pages\/2733\/revisions\/2752"}],"wp:attachment":[{"href":"https:\/\/shahabuddinmedical.org\/college\/wp-json\/wp\/v2\/media?parent=2733"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}