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Amission-Form-MBBS 2024

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24 views

Amission-Form-MBBS 2024

Uploaded by

onlyroughpurpose
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Form No: ____________

NISHTAR MEDICAL UNIVERSITY MULTAN


Examination Cell
Ph# 061-9200231-9 (Ext. 2109), 061-4505730, 061-4505756
Email: [email protected]
ADMISSION FORM
First Professional MBBS

NOTE:
PHOTO
 Form MUST be filled by the candidate ONLY.
 Form with incomplete / incorrect information will be rejected.

1 Admission form for: MBBS (First Professional)


Annual / Supplementary: _____________ Year: _________________________
2 Full Name (first, middle, last): ______________________________________________________________

3 Father Name (first, middle, last): ____________________________________________________________

4 Applicant CNIC No / Passport No.: ____________________________ Nationality: ___________________

5 Name of Institution: ______________________________________________________________________

6 Registration No: __________________________________________________________________________

7 Mailing Address:

_________________________________________________________________________________

8 Mobile Phone No._____________________________ Email/fax No.________________________________

9 Parent/Guardian mobile No.____________________________ Landline No. (With city code) _________________________

1 Status: (Mention Attempt) Current Attempt: _________

Previous Exam Type: Annual / Supplementary Year: ________ Previous Roll No: ________

1 Subject in which a candidate MUST appear to pass the said professional Examination

1 : Anatomy+ Histology

2 : Physiology

3 : Biochemistry
Form No: _____________

NISHTAR MEDICAL UNIVERSITY MULTAN


Examination Cell
Ph# 061-9200231-9 (Ext. 2109), 061-4505730, 061-4505756
Email: [email protected]
ADMISSION FORM
First Professional MBBS

___________________________________________________________________________

1 Fee Paid (Pakistani Rupee): _____________________________________ Payment Mode: ________________________________

Draft/Pay order/Bank deposit Receipt No. _________________ Date: ________________________________________

1 Documents to be attached:

Attested copies of the following documents are submitted with the HARD COPY of the Admission Form, duly Endorsed by the Head
of the Institution.

HSSC/ Equivalence certificate Detailed Marks Certificates (DMCs) of Migration Certificate PMC Registration Certificate
(Only for candidate taking 1st Previous Professional Exams.
Professional Examination)

STUDENT DECLARATION

I hereby solemnly declare that:


(1) The information provided by me in this form is correct and no information has been concealed.
(2) I shall be responsible if my application form is rejected on the basis of any error, misinformation and omission.
(3) I understand that taking examination without being fully eligible is a crime under law, and in such case, the University will
cancel result.

Date : _________________ _________________________


Signature of Applicant

HEAD OF INSTITUTION CERTIFICATION

I certify that the candidate is eligible as per Rules & Regulations of PMC and Nishtar Medical University Multan, to take the above mentioned
examination.

Date: __________________ _________________________


Signature of Head of institute
(With stamp)

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