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    Admission Form Professional Institute of Medical Science Peshawar, Khyber Pakhtunkhwa

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    saeedullah afridi
    This document is an admission form for the Professional Institute of Medical Science in Peshawar, Khyber Pakhtunkhwa. [1] The form requests information for admission such as the applicant's name, father's name, date of birth, address, contact details, academic qualifications and signatures. [2] The applicant must also select their department of choice from options including pharmacy, anesthesia, dental, surgical and pathology. [3] Documents including academic transcripts, domicile certificate, character certificate and CNIC copies must be attached with the completed form.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Admission Form Professional Institute of Medical Science Peshawar, Khyber Pakhtunkhwa

    Uploaded by

    saeedullah afridi
    25 views1 page
    This document is an admission form for the Professional Institute of Medical Science in Peshawar, Khyber Pakhtunkhwa. [1] The form requests information for admission such as the applicant's name, father's name, date of birth, address, contact details, academic qualifications and signatures. [2] The applicant must also select their department of choice from options including pharmacy, anesthesia, dental, surgical and pathology. [3] Documents including academic transcripts, domicile certificate, character certificate and CNIC copies must be attached with the completed form.

    Original Title

    PIMS-ADMISSION-FORM

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    This document is an admission form for the Professional Institute of Medical Science in Peshawar, Khyber Pakhtunkhwa. [1] The form requests information for admission such as the applicant's name, father's name, date of birth, address, contact details, academic qualifications and signatures. [2] The applicant must also select their department of choice from options including pharmacy, anesthesia, dental, surgical and pathology. [3] Documents including academic transcripts, domicile certificate, character certificate and CNIC copies must be attached with the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views1 page

    Admission Form Professional Institute of Medical Science Peshawar, Khyber Pakhtunkhwa

    Uploaded by

    saeedullah afridi
    This document is an admission form for the Professional Institute of Medical Science in Peshawar, Khyber Pakhtunkhwa. [1] The form requests information for admission such as the applicant's name, father's name, date of birth, address, contact details, academic qualifications and signatures. [2] The applicant must also select their department of choice from options including pharmacy, anesthesia, dental, surgical and pathology. [3] Documents including academic transcripts, domicile certificate, character certificate and CNIC copies must be attached with the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ADMISSION FORM

    Professional Institute of Medical Science


    Peshawar, Khyber Pakhtunkhwa
    S.No. _____________ Registration No._________________________

    1. Select any Departments/disciplines on Priority Basis for Admission from the following List:

    i. Pharmacy ii. Anesthesia


    iii. Dental iv. Surgical
    v. Phatology

    2. NAME OF APPLICANT (In Block Letters):________________________________________________________________


    3. FATHER’S NAME (In Block Letters): _____________________________________________________________________
    4. DATE OF BIRTH: (In fig)_______________ (In words) _______________________5. DOMICILE: ______________
    6. GENDER: _______________________________7. APPLICANT’S CNIC No:_______________________________________
    8. FATHER’S CNICNo:_____________________________________________________________9. BLOOD GROUP:______
    10. NATIONALITY: _______________________11. FATHER’S OCCUPATION: ___________________________________
    12. RELIGION: __________________________ 13. ADDRESS: ______________________________________________________
    __________________________________________________________________________________________________________________
    14. PHONE NO: __________________________15. CELL NO: _______________________16. E.MAIL:__________________

    ACADEMIC QUALIFICATIONS
    Certificate/ Board/ Year of Annual/ Roll No Marks Total %age
    Degree University Passing Supply obtained Marks
    Metric
    (SSC)
    Inter
    (HSSC)
    UNDERTAKING
    I hereby certify that the information provided in this application form is correct. I undertake
    to abide by the rules and regulations of the Shaheed Benazir Bhutto University and the orders
    issued by the competent authorities from time to time. I also submit that my admission in the
    University is provisional and is subject to cancellation if any irregularity is found in my
    admission Form / Documents /Conduct etc at any stage.

    _______________ _______________________
    Applicant’s Signature Father’s / Guardian Signature

    Documents (Attested photocopies of) to be attached with the Admission Form:


    (1) (DMCs) (2) Provisional (3) Domicile (4) Character Certificate (5) CNICs of the Applicant,
    Father/ Guardian.
    ………………………………………………………………………………………………………………
    For Office use only
    Admission Committee:
    1__________________________2______________________________3_____________________________4_____________________________

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