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    Application Form - Session 2014-15 For Admission in 1 YEAR MBBS (Foreign Seat)

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    arbtep
    This 3 page document is an application form for admission to the 1st year of an MBBS program with foreign seats. It requests personal information about the applicant such as name, date of birth, nationality, academic record including results from SSC, FSc and medical college entry tests. It also asks if the applicant needs hostel accommodation, requires them to declare they can afford education costs and provides instructions to attach documents like identity cards and academic transcripts. The form is to be filled and signed by the applicant and guardian for consideration in the admission process.

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    Application Form - Session 2014-15 For Admission in 1 YEAR MBBS (Foreign Seat)

    Uploaded by

    arbtep
    32 views3 pages
    This 3 page document is an application form for admission to the 1st year of an MBBS program with foreign seats. It requests personal information about the applicant such as name, date of birth, nationality, academic record including results from SSC, FSc and medical college entry tests. It also asks if the applicant needs hostel accommodation, requires them to declare they can afford education costs and provides instructions to attach documents like identity cards and academic transcripts. The form is to be filled and signed by the applicant and guardian for consideration in the admission process.

    Original Title

    Peshawar Medical College

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    This 3 page document is an application form for admission to the 1st year of an MBBS program with foreign seats. It requests personal information about the applicant such as name, date of birth, nationality, academic record including results from SSC, FSc and medical college entry tests. It also asks if the applicant needs hostel accommodation, requires them to declare they can afford education costs and provides instructions to attach documents like identity cards and academic transcripts. The form is to be filled and signed by the applicant and guardian for consideration in the admission process.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views3 pages

    Application Form - Session 2014-15 For Admission in 1 YEAR MBBS (Foreign Seat)

    Uploaded by

    arbtep
    This 3 page document is an application form for admission to the 1st year of an MBBS program with foreign seats. It requests personal information about the applicant such as name, date of birth, nationality, academic record including results from SSC, FSc and medical college entry tests. It also asks if the applicant needs hostel accommodation, requires them to declare they can afford education costs and provides instructions to attach documents like identity cards and academic transcripts. The form is to be filled and signed by the applicant and guardian for consideration in the admission process.

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    You are on page 1of 3

    Page 1 of 3

    APPLICATION FORM - SESSION 2014-15


    FOR ADMISSION IN 1
    ST
    YEAR MBBS (Foreign Seat)
    Please fill in capital letters, Write N.A., where not applicable.



    A. PERSONAL INFORMATION

    1. Applicants Name NIC#/Form B
    (with correct spelling as per SSC Certificate)

    2. Fathers Name NIC#
    (with correct spelling as per SSC Certificate)

    3. Fathers Occupation Father/Guardian Annual Income

    4. Date of Birth / / Place of Birth Sex: Male / Female

    5. Nationality 6. Religion

    7. Marital Status: Married / Unmarried If Married, SPOUSE Name

    8. Present Postal Address



    9. Permanent Home Address



    Contact Mobile Land Line Email
    Personal
    Father
    Guardian
    Residence

    B. ACADEMIC RECORD

    Examination Passed
    Year of
    Passing
    Annual/
    Supply
    Marks
    Obtained
    Total
    Marks
    Div./ Grade/
    percentage
    Name of School / College
    Name of
    Board
    1. Matric/Equivalent

    2. F.Sc. /Equivalent
    (Pre-Medical)

    3. Provincial Entry
    Test of Medical
    Colleges
    Roll No. Attempt No.
    Marks
    Name of Province
    Obtained Total



    How many paaras of the Holy Quran have you memorized? _______ (Attach the Hifz Certificate)

    PMC Roll No.___________
    Page 2 of 3





    Name of Guardian/Financial Supporter (if any)

    Relation with applicant

    Address of the Guardian / Financial Supporter



    C. OTHER ATTRIBUTES

    Out standing Academic Achievements (if any):





    Scholarships won (if any)

    Any outstanding achievement in Extra Curricular activities:

    _______________________________________________________________________________





    Computer Skills (If any please give details)

    D. WILL YOU NEED A SEAT IN HOSTEL? YES_____ NO _____

    E. DECLARATION

    I declare that all entries / statements given in this form are correct to the best of my
    knowledge. If any statement is found false / incorrect, College authorities have the right to
    terminate the admission. I will abide by the decision / action of the College authorities. I
    declare that I can afford all the education expenses.



    Applicants Signature: Father/Guardians Signature:


    Date____________________ Date____________________
    Page 3 of 3







    F. GENERAL INSTRUCTION

    1. Photocopies of the following documents should be attached with the application.

    a. SSC (Matric) / equivalent Certificate and DMC (Provisional Certificate is not acceptable)
    b. F Sc / equivalent Certificate and DMC.
    c. Two recent passport size photographs.
    d. NIC / Form B
    e. Father / Mother NIC
    f. ETEA Certificate
    g. Hifz Certificate (if applicable)
    h. Overseas Sponsorship Certificate (if applicable)

    2. Original Documents shall be required at the time of interview.


    FOR OFFICE USE ONLY

    Aptitude Assessment / Interview Marks:

    Provincial Entry Test Marks:

    Hafiz e Quran Marks: (total marks: 20 per paara 0 .67)

    Final Result:


    Admitted: Not Admitted:




    ___________________________
    Chairman Selection Committee

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