Rajiv Gandhi University of Health Sciences, Karnataka
4th 'T' Block, Jayanagar, Bangalore - 560 041.
APPLICATION FORM FOR THE ISSUE OF ELIGIBILITY CERTIFICATE FOR _________________ COURSE FOR THE ACADEMIC YEAR 2005-2006
1. Name of the Candidate (in block letters as in the marks card of the +2 examination):
2. Communication Address:
3. Age & Date of Birth:
4. Nationality:
5. Qualifying Examination Passed with Registration Number, Month and Year of Passing:
a) Particulars of the subjects passed & marks secured
English & Optional Subjects passed Maximum Marks Marks Obtained1. English 2. Physics 3. Chemistry 4. Biology 5. Mathematics 6. Total (Optionals) b) Percentage in aggregate of PCB/PCM:
6. Name of the Board / University conducting the examination:
7. Eligibility fee paid receipt / DD No. date and amount (DD shall be drawn in favour of the "Registrar, RGUHS, Bangalore")
8. Name of the College of Admission
9. Attested photocopies of the following documents must be enclosed with the application
EXAMPLE:
A Grade = 90 to 100 (% or marks)
B Grade = 80 to 90 (% or marks)
I do certify that the information furnished above are correct to the best of my knowledge and belief.
Place:
Date:
Signature of the Candidate
Eligibility for qualifying for the 10+2/12th Grade
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1. |
a) |
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b) Baccalaureate Certificate awarded by the Ministry
of Education, |
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2. |
High School Graduation Diploma of |
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3. |
12 years General Secondary Education 'Certificate of
Maturity' DEFTESE PJEKURIE of the Ministry of Education, Albania. |
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4. |
12 years High School Diploma of American community
school (Association: Escueles Lincoln), |
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5. |
I) Higher School Certificate Exam. of (a) (b) Board of |
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II) |
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. |
III) 12 Year South Australian Matriculation Examination
conducted by the public Examinations Board of South Australia, |
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IV) Year 12 |
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V) Senior Certificate of Board of Secondary School
Studies, |
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6. |
Secondary School General Certificate of the State of
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7. |
a) Higher Secondary Certificate Examination of the
Boards of Intermediate & Secondary Education in |
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b) 12 years High School Graduation
Diploma at American International School Dhaka. |
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8. |
a) 12 Year High School (Academic) Graduate Diploma
of the International |
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b) 12 years High School Diploma
of St. John's International School, |
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9. |
Bhuyanese School Certificate
Examination conducted by the National Board of Secondary Education of
the Royal Govt. of Bhutan |
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10. |
Higher School Diploma of American School of |
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11. |
a) GCE Examination of UK with passes in (i) 5 subjects at least at ordinary Level and 2 subjects at Advanced Level, or (ii) 4 subjects at ordinary
Level & 3 subjects at Advanced Level. |
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b) Scottish Certificate of Education (Ordinary Grade
& Higher Grade) awarded by the Scottish Examination Board, Edinburgh,
England, with passes in 5/4 subjects at the Ordinary Grade & 2/3
subjects at the Higher Grade (7 passes) |
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c) School Certificate & GCE 'O' Level Examination
in more than 5 subjects including English & as further obtained
principal passes in Physics, Chemistry & Mathematics at Higher School
Certificate Examination of University of Cambridge, |
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d) International General Certificate of Secondary Examination
of |
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12. |
a) 2 Years Pre-Degree/ Diploma Course with English
as one of the subjects of Regional Colleges of Burma conducted by Examination
Board of Burma Higher Education Department, Ministry of Education, Board
of Colleges, Burma. |
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b) 12 Years High school Graduation Diploma of International
High School, |
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13. |
a) Secondary School Honour
Graduation Diploma of the Secondary Schools in the Province of |
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b) |
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c) Senior Secondary School Graduation Certificate of
the Ministry of Education, Government of British, Columbia, Canada. |
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d) Grade 12 Graduation Diploma of |
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e) 12 |
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f) Diploma of Collegial Studies - General Education
Programme (Diploma D' Etudes Collegial - DEC) of General
Colleges (CEGEP) of the Department of Education, |
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g) High School Completion Certificate of the Department
of Education, |
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h) 12 Years General High School/Advanced High School
Diploma of the Province of Alberta, Canada. |
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i) Senior High School Graduation
Diploma (Academic Stream) of the Dept. of Education, |
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14. |
GCE Examination conducted by the Department of Examination of the Government of Sri Lanka with passes in (a) Five subjects at the Ordinary Level and two subjects at the Advanced Level, or (b) Four subjects at the
Ordinary Level and three subjects at the Advanced Level. |
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15. |
12 years School Diploma of Nido
De Anguilas International School, |
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16. |
12 years High School Diploma of Shanghai American School,
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17. |
High School Colleges Preparatory Diploma of |
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18. |
12 years High School Diploma of Copenhagen International
School, Denmark. |
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19. East African Countries |
a) East African Advanced Certificate of Education Examination
of the University of Cambridge Local Examinations Syndicate in collaboration
with East African Examinations Council with a pass in any of the following
combinations of subjects; Four principle subjects; three principle subjects
and one subsidiary subject; two principle subjects and two subsidiary
subjects. |
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(Uganda Advanced Certificate of Education Examination
conducted by the Uganda National Examinations Board, |
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c) Uganda Advanced Certificate
of Education with three Principal passes. |
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20. |
a) Secondary General Education Certificate (12 Year
Course) awarded by the Ministry of Education, Arab Republic of Egypt. |
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b) High School Graduation Diploma of Cairo American
Colleges, |
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21. |
Ethiopian School Leaving Certificate (12 Year Course)
awarded by the Ministry of Education & Fine Arts, Ethiopian. |
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22. |
a) Fiji Seventh Form Certificate awarded by the Ministry
of Education, |
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b) Foundation programmed of the |
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c) 12 Years Certificate of Attainment / |
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23. |
New French Baccalaureate Examination |
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24. |
a) Graduation Diploma of |
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b) 12 Years Graduation Diploma of |
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c) 'Abitur' Examination of
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d) High School General Diploma (Academic Transcript
issued by Saskatchewan Dept. of Education, Canada) conducted at the
Black Forest Academy, West Germany. |
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e) High School Diploma of |
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25. |
General Secondary Education Certificate of |
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26. |
12 Years High School Diploma of |
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27. |
'Diploma DU Baccalaureate (2nd Part) Academic
Stream) |
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28. |
Hong Kong Certificate of Education & Higher/ Advanced
Level Examination of Hong Kong Examination Authority on the some parity
as accorded to GCE 'O' Level/ 'A' Level Examinations of British Examining
Authorities. |
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29. |
a) 12 year Higher Secondary Examination (Courses offered
at the |
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b) Secondary School Diploma (College Preparatory Programme) of |
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c) SMA/SLTA (Senior High school/Secondary school advanced
stage) Examination of Indonesia. |
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d) 12 years High School Diploma
of Surabaya International School, |
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30. |
4th year Diploma of Secondary Schools (12
year Course offered under the new pattern of school Education) awarded
by the Ministry of Education, |
|
31. |
Baccalaureate Examination for Secondary Schools (12
year Course) conducted by the Ministry of Education, |
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32. |
Leaving Certificate Examination (Department of Education)
|
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33. |
a) Diploma Maturia Technical
Feminine (Diploma of Feminine Technical School Leaving Certificate)
awarded by the provincial Education Authority in |
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b) 12 years High School Diploma of American overseas
School, |
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c) High School
Graduation Diploma of Mary mount International School, |
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d) 12 years High School Diploma of American |
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34. |
a) 12 years Matriculation 'Bagrut'
Examination (Academic Stream) of the Ministry of Education & |
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b) 12 Years High School Diploma of |
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35. |
High School Diploma of International community School
of |
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36. |
a) 12 year Diploma of St. Mary's |
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b) High School Graduation Diploma (Certificate of Graduation)
of the |
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c) High School Diploma of |
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d) 12 Years Senior High School Diploma of Marist Brothers'
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e) High School Graduation Diploma of |
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f) 12 years Upper Secondary
School Leaving Certificate of Japan. |
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37. |
a) General Secondary Education
Certificate (Tawjihi) (12 year Course) Examination conducted by the Ministry of Education Jordan. |
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b) General Vocational Secondary
Certificate (12 year Course) awarded by the Ministry of Education, |
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c) High School Diploma of American community school,
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38. |
a) Kenya Advanced Certificate of Education Examination
conducted by the Kenya National Examinations Council, |
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b) 8+4 |
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39. |
a) 12 years College Preparatory
Diploma of Seoul Foreign School, |
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b) 12 years High School Honours Diploma of Pusan American
School, |
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c) 12 years College Preparatory
Diploma of Seoul International School, |
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40. |
High School Diploma with good grades of accredited
|
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41. |
General Secondary Education Certificate Examination
(12 years Course) conducted by the Ministry of Education, |
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42. |
a) 12-years Diploma of |
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b) Baccalaureate Diploma (Final part II) of the Ministry
of National Education, |
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43. |
General Secondary Education Certificate awarded by
the Ministry of Education, |
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44. |
a) Higher School Certificate Examination (10 year Course)
conducted by the University of Cambridge
Local Examinations Syndicate in Collaboration with the University of
Malaysia and the University of Singapore. |
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b) Sijil Tinggi
Persekolshon Examination conducted by the
Ministry of Education, |
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c) 12 years High School Graduation Diploma of International School of Kuala Lumpur,
Malaysia. |
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d) Sijil Tinggi
Parsekolshan Malaysia (STPM) Examination with
pass in English Language paper conducted by the |
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e) Matriculation Science Course of the |
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f) Science Matriculation Programme
of University |
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g) 12 years Matriculation
Science Certificate of |
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45. |
High School Graduation Diploma of |
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46. |
a) Inter Arts, Science & Commence of |
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b) Certificates (Courses offered at the Institutes
of Humanities & Social Sciences; Science & Business Administration,
Commerce & Public Administration) & Certificate in Agriculture
of the |
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c)Intermediate Science Course of |
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d) Higher Secondary Examination from Higher Secondary
Boards of accredited to Ministry of Educated of |
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47. |
High School Diploma of American |
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48. |
12 Years High School Graduation Diploma of |
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49. |
a) |
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b) University Bursaries/Entrance Scholarship Examination
with minimum of Grade 'D' of |
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50. |
a) Interim Joint Matriculation Board Examination of
the |
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b) 2 GCE 'A' level passes followed by 5 'O' Level passes
of the West African Examinations |
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c) 12 years High School Graduation
Diploma of Hillcrest High School, |
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d) 2 years Pre-Degree Programme of University of Sakota,
Nigeria. |
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e)12 Years Senior School Certificate
Examination of West African Examinations |
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51. |
12 years Secondary School Certificate 'Exam on Artium' / Upper Secondary School Examination (General/Academic
study) of Ministry of Church & Education, Norway. |
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52. |
12 Years General Secondary School Certificate of the
Ministry of Education, |
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53. |
a) Higher Secondary School Certificate Examination
of the Federal Board of Intermediate & Secondary Education, |
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b) Higher Secondary Certificate Exam. (Part-II) (12-year
Course) of the Board of Intermediate & Secondary Education, Hyderbad. |
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c) 12 years High School Diploma
of International School of Islamabad, Pakistan. |
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d) 12 years High School Graduation
Diploma of Karachi American School, |
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54. |
General Secondary Education Examination of Palestinian
National Authority. |
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55. |
Graduation Diploma of Balboa High School (Dept. of
Defense (USA) |
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56. |
High School Graduation Diploma at the |
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57. |
a) 12 Years College Preparatory |
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b) 12 years Graduate High School Diploma of International
School, |
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58. |
High School Graduation Diploma of the American |
|
59. |
General Secondary Education Stage Certificate Examination
conducted by the Ministry of Education & Youth Welfare, Govt. of
the State of Qatar |
|
60. |
12 Years General Secondary Education Certificate with
English as one of the subjects of the Ministry of Education, |
|
61. |
a) Singapore-Cambridge General Certificate of Education
'O' & 'A' Level Examinations on the parity as accorded to GCE Examinations
of British, Examining Authorities. |
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|
b) Diploma (High School) of |
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62. |
a) Matriculation Exemption Certificate/Senior Certificate
with Matriculation Exemption of the Ministry of Education, Republic
of |
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b) Senior Certificate with Matriculation Examination/Matriculation
Certificate of the South African Certification Council, Ministry of
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c) Senior Certificate of awarded
by Kwazal-Natal Department of Education &
Culture is not recognized. |
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63. |
a) Higher Secondary School Certificate Exam. (12 year
Course) conducted by the Sudan Examinations Committee, |
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b) 12 years Secondary School Certificate of the Sudan
Examination Committee, Ministry of Education, |
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c) |
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d) General Secondary Education
Certificate of Egyptian Educational |
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64. |
School Leaving Certificate Courses in Natural Sciences
(12-year Courses) offered at Ostermolms and
Norro Reol Gymnasiums. |
|
65. |
a) International Baccalaureate Diploma Examination
conducted by the International Baccalaureate office, |
|
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b) 12 years Senior Class (High School) Diploma of the
International School of Geneva. |
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|
c) Matura Certificate awarded by the Matura commission,
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|
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d) High School Academic Diploma of |
|
66. |
a) General Certificate of Secondary Education of Ministry
of Education, |
|
|
b) 12 years High Scholl Graduation Diploma of the |
|
67. |
a) National Form VI Examination of the Ministry of
National Education, United Republic of Tanzania (renamed as Advanced
Certificate of Secondary Education of National Examinations Council
of Tanzania. |
|
|
b) Certificate of Secondary Education in more than
5 subjects including English and Advance Certificate of Secondary Education
of the National Council of Tanzania with three principal passes. |
|
68. |
a) Higher Certificate of Education of Ministry of Education,
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|
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b) Mathayam VIII, Final Examination
of Upper Secondary Education Course, Final Exam, of the Secondary Education
Course, Math yam Suksa 5 , Pre-University
Final Examination (12-year Course) conducted by the Ministry of Education,
Thailand. |
|
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c) 12 years High School Graduation Diploma of the |
|
|
d) 12 year High School Diploma awarded by the |
|
|
e) Grade 12 examination of |
|
|
f) 12 years High School Diploma of Chiang Mai International
School (CMIS), |
|
69. |
Baccalaureate Certificate of the Ministry of Education,
|
|
70. |
12 Years Graduation Diploma of |
|
71. |
a) General Secondary Education
Certificate awarded by the Ministry of Education, United Arab Emirates. |
|
|
b) 12 years High School Diploma
of American community School, |
|
72. |
a) 12 years High School Diploma
of U.S.A. (Accredited schools). |
|
|
b) Independent study High School Diploma of University
of |
|
73. |
High School Diploma of Colegie
International de Caracas, |
|
74. |
High School Final Examination (12-years Programme) conducted by the Ministry of Education, Socialist
Republic of Vietnam, |
|
75. |
CXS (Caribbean Examination Council) Certificates in
General proficiency Grads I or II in five subjects including English
and 2 GCE 'A' Level passes from the recognized British Examining Bodies. |
|
76. |
Secondary School Certificate awarded by the Ministry
of Education, |
|
77. |
General Secondary Certificate Examination conducted
by the Ministry of Education of the people's Democratic Republic of
Yemen. |
|
78. |
a) 12 year High School Diploma
awarded by the |
|
|
b) Diploma D' Etat, D' Etudes
Secondaries DU Cycle long awarded by the Department of Primary
& Secondary Education, |