A Fghan National Seats

Afghan Na Serial No: ___________ NMDCAT Roll No. t i onal onal [[[ Seats APPLICATION FORM FOR ADMISSION TO st 1 YEAR MBBS/BDS Photo OF PUBLIC SECTOR MEDICAL/DENTAL COLLEGES OF KHYBER PAKHTUNKHWA SESSION 2020-21 [ (This form should be filled in BLOCK letters) Note: Please read admission policy and the instructions before filling the form. This form is for applying against 12 Seats reserved for Afghan Nationals in MBBS/BDS 1. Name: ___________________________________________________________________________________________ (As per SSC (Science) or equivalent certificate in block letters) 2. Father’s Name: ____________________________________________________________________________________ 3. Date of Birth: ______/________/__________ 4. Gender: ______________________________________________ 5. Nationality: ____________________________________ 6. Date of Issuance of Passport/POR/ACC.: _______________________________________ 7. Present Postal Address: ______________________________________________________________________________ _________________________________________________________________________________________________ Phone 1(Mobile/Cell)______________________________ Phone 2(Mobile/Cell)_______________________________ Phone 3(Land Line)________________________________ Phone 4(Land Line)________________________________ 8. Permanent Address: ________________________________________________________________________________ _________________________________________________________________________________________________ 9. E-mail: __________________________________________________________________________________________ 10. Have you ever been admitted / studying in any Medical/Dental College in Pakistan. If Yes, mention name of the college: ____________________________________________________________________________________ Page 1 of 4 11. Order of priority of Colleges for admission in MBBS/BDS:(Use abbreviation for the names of colleges as given) S.No. Signatures Full Name of the Institution Choice No. of the Applicant 1. Khyber Medical College, Peshawar 2. Ayub Medical College, Abbottabad 3. Saidu Medical College, Swat 4. Bacha Khan Medical College, Mardan 5. Khyber Girls Medical College (For Girls only), Peshawar 6. Gomal Medical College, D.I. Khan 7. Bannu Medical College, Bannu 8. Khyber Colleege of Dentistry, Peshawar 9. Ayub Dental Section, Abbottabad Note: A candidate will give his/her preference in order of priority for the Medical/Dental Colleges in the designated space provided in the admission form which once given shall be final and cannot be changed subsequently. This condition is mandatory and neither any subsequent change is entertainable nor any exceptions will be made. The candidate shall be considered only for those colleges for which he/she has shown their preferences. A candidate, under no circumstances will be considered for a college not listed in his/her preferences. Year Entry Test ID Results 12. Are you Hafiz-e-Quran Yes ☐ No ☐ 13. Have you appeared in Medical Entry Test before? Yes ☐ No ☐ If yes, Give details: 14. EDUCATIONAL QUALIFICATION: Qualification Year of Annual / Exam. Marks Total Attempt (s) Board / University Passing Supplementary Roll No Obtained Marks S.S.C (Science) or equivalent F.Sc (Pre-Medical) or Equivalent 15. NMDCAT 2020: Roll No. Marks Otained Percentage Page 2 of 4 16. SAT II Test Details(Passing Percentage for each SAT II subject is 60%) Username & SAT II (Subject) Scores Test Date(s) Password Chemistry: /800 Biology : /800 Physics or Maths : /800 Total: /2400 17. Application Processing Fee: Rs. Bank Deposit Slip No: ___________________________________ MCB Branch/Code: __________________________ Dated:__________________________ Signature of the Applicant’s Father/Guardian Signature of the Applicant : ========================================================================================================================================================= FOR OFFICE USE ONLY: Receipt No. Dated: Office Stamp: __________________ ADJUSTMENT OF MARKS Hafiz-e-Quran SSC 10% F.Sc 40% Entry Test 50% Deduction Merit Score Marks Weightage Weightage Weightage REMARKS/REQUIREMENTS Page 3 of 4 Documents Required The following documents must be attached with the application form in the following sequence. The documents & certificates must be attested by Gazetted Officer/ Nazim. The stamp of the officer must bear full name, designation and current place of duty. Two Copies of detailed Marks Certificate of examination on the basis of which admission is sought. (F.Sc or equivalent). An equivalence certificate from the Inter-Board Committee of Chairmen, Islamabad, if the qualifying certificate is from an Institute abroad. A copy of Hafiz-e-Quran certificate if the candidate claims to be Hafiz-e-Quran. A copy of Secondary School Certificate Examination (Science /equivalent). A copy of Passport/POR/ACC of the applicant and his father. A copy of attempt certification from concerned BISE, if the period between SSC and F.Sc is more than two sessions. Three passport size coloured photographs of the applicant with name, father name, and attestation on the back. IMPORTANT NOTES/INSTRUCTIONS 1. All applicants must appropriately fill and sign the admission form. Incomoplete/forms in any respect will not be accepted. Avoid overwriting/cutting, while filling the form. 2. Appications should reach the office of Director Admissions, KMU on or before the closing date and time. Application received after the due date and time will not be entertained for admissions. No forms will be accepted through mails/courier. 3. Applicant must study the admission policy of Khyber Pakhtunkhwa Medical and Dental colleges available on KMU website (http://kmuadmissions.pk) in order to understand the rules and regulations regarding entrance test, admissions procedure, distribution of seats, examination/tution etc. 4. DMC of Fsc (Pre-Medical)/Equivalent examination, SSC and other certificates once submitted with this form can not be changed and shall be considered as final. Revision of result or improvement of marks by the board/IBCC after the finalization of merit list shall not affect the merit list of admission of current year in any way. All the above mention certificates issued after the dates fixed for the receipt of application forms shall not be entertained. 5. Applications forms with any false statement by candidate will be rejected. 6. If any certificate submitted by the candidate is found false, or forged during his/her study period, his/her admission shall be canceled forthwith and he/she shall be blacklisted for admission to any professional colleges in Khyber Pakhtunwa Further legal action can be taken against the student under the existing criminal laws. Page 4 of 4 .

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