Akhtar saeed medical & dental college, bahria town, lahore.



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AKHTAR SAEED MEDICAL & DENTAL COLLEGE, BAHRIA TOWN, LAHORE.

(Academic Session 2011-12)


Foreign Student

Overseas Pakistanis Students

Students Local Self Finance


APPLICATION FOR ADMISSION TO THE FIRST YEAR

M.B.B.S



Paste Recent Photograph
Foreign student




(i) F.S.c Equivalent Exam Marks:_______________

(ii) Entry Test Marks:___________________________

(iii) Aptitude Test: _____________


Combined Score (%age) : __________________
Admit Card No: _______________________________

1. Full Name Mr./Mrs./Miss

























































2. Father’s Name


























































  1. Present Postal Address ____________________________________________________________________________________________________________________________________

Permanent Postal Address:

  1. _______________________________________________________________ ________



_______________________________________________________________________

Tel: _______________________________________

Mobile No.__________________________________

Fax:_______________________________________

E. Mail:_____________________________________


  1. Date of Birth___________ Place of Birth___________ Religion____________




  1. NIC # of Student:














































  2. NIC # of Father:













































8. Guardian’s Name: ____________________________ NIC no :_______________________

(in case of death of both the parents)


    1. Exact relationship with the applicant:_______________________________

    2. Occupation:____________________________________________________

    3. Address:_______________________________________________________

    4. Tel: (Res) __________________Tel(Off)________________________________

Mobile No.______________ Fax:__________________________________

E-Mail___________________


9. Father/Guardian Income I) Annual Income from all sources: Rs.______________________

Qualification

Sr

No.


Examination Passed

Board from which passed

Roll No.

Date of Passing

Name of School/College

Marks Obtained

1

Matriculation /Equivalent
















2

Intermediate (Pre-Med.) or Equivalent















10. Solemn affirmation by the applicant.



I, solemnly affirm that information given above is correct to the best of my knowledge and if it is found that any of the statements was false, then I should not be admitted and if admitted, the college will be having the right to expel me. I would also be liable to any further departmental or legal action that the Akhtar Saeed Medical and Dental College, “AMDC” Lahore may deem fit to take.
______________ ________________________
Parents Signatures (with Date) Signature of student (with Date)
Check List:

Make sure that you have deposited the attested photocopies of following documents with admission form.



  1. National I.D.Card/Passport.

  2. Matriculation Certificate or Equivalent Certificate

  3. F.S.c. (Pre-Medical) or equivalent Certificate.

  4. Medical fitness certificate from any registered medical practitioner

  5. Character certificate form Head of institution last attended

  6. Serological status about HBV & HCV

  7. HIV Status (Foreign students only)

  8. Certificate of vaccination against Hepatitis B and Tetanus.


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