Scribd Logo
Upload

Welcome to Scribd!

  • 31 views

    The Aga Khan University Residency Programme Application Form

    Uploaded by

    Nicole Johnson
    Muhammad Javaid is applying to the residency program at the Aga Khan University. He graduated from medical college in 2010 and has since completed his house job and cleared his FCPS-I exam. He is currently doing training in radiology and has over 2 years of experience working as a general practitioner. He is requesting admission to take the entrance exam in Rawalpindi and believes his application to be complete.

    Copyright:

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

    The Aga Khan University Residency Programme Application Form

    Uploaded by

    Nicole Johnson
    31 views3 pages
    Muhammad Javaid is applying to the residency program at the Aga Khan University. He graduated from medical college in 2010 and has since completed his house job and cleared his FCPS-I exam. He is currently doing training in radiology and has over 2 years of experience working as a general practitioner. He is requesting admission to take the entrance exam in Rawalpindi and believes his application to be complete.

    Original Title

    Table

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Muhammad Javaid is applying to the residency program at the Aga Khan University. He graduated from medical college in 2010 and has since completed his house job and cleared his FCPS-I exam. He is currently doing training in radiology and has over 2 years of experience working as a general practitioner. He is requesting admission to take the entrance exam in Rawalpindi and believes his application to be complete.

    Copyright:

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

    The Aga Khan University Residency Programme Application Form

    Uploaded by

    Nicole Johnson
    Muhammad Javaid is applying to the residency program at the Aga Khan University. He graduated from medical college in 2010 and has since completed his house job and cleared his FCPS-I exam. He is currently doing training in radiology and has over 2 years of experience working as a general practitioner. He is requesting admission to take the entrance exam in Rawalpindi and believes his application to be complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    THE AGA KHAN UNIVERSITY

    Residency Programme Application Form


    Passport Size
    Photograph
    Username/Email [email protected]
    Speciality Diagnostic Radiology
    Name(as per CNIC) Muhammad Javaid
    Father/Spouse name Kareem Khan
    Gender Male
    Date of Birth 01-March-1984
    Nationality Pakistani
    CNIC 36304-3222760-9
    Passport #
    Mailing Address
    House # 69,street # 2,Marghzar colony,17 km
    ferozpur road,awan market Lahore
    Country Pakistan
    City Shuja abad
    State / Province Punajba
    Permanant Address
    Chah Bahman wala,mouza mirali wahin,near
    GOVT.Degree College shujabad.Distt.Multan
    Country
    City
    State / Province
    Cell # 0321-6346420/0333-60
    Fax #
    Home / Office Tel # 0321-7303877
    Name of medical college attended Nishter Medical College
    Others
    Medical college graduation date February-2010
    Supplementary exams details All passed in Anual
    House job institution name 1 Nishtar Medical College Multan
    Duration May 2010-April 2011
    House job institution name 2
    Duration
    House job institution name 3
    Duration
    House job institution name 3
    Duration
    Cleared FCPS - I Yes
    Year 2014
    PMDC Number 58584-P
    PMDC Validity 31-12-2014
    Other qualification
    Doing Training in radiology as DMRD
    resident since oct.2013 in LGH.
    Other experience
    11 months as GP in private hospital.About 2
    years as GP in BHU as govt.employee
    Exempted No
    AdmissionTest Centre Rawalpindi
    Is your application complete Yes
    Pending documents

    Endorsement (should be attested by the Principal of the institute last worked at or
    professor of any medical college)
    I certify that the information given above is correct .
    ___________ ___________ ___________ ___________
    Name and
    Designation
    Signature Official Stamp Date
    Following items are to be included with this application:
    []Completed application form endorsed by supervisor/principal.
    []Attested copies of mark sheets of all professional examinations.
    []Attested copy of MBBS degree.
    []Attested copy of provisional registration of PMDC.
    NOTE: All photocopies should be cut or minimised to A4
    []Two passport size photographs:
    Taken one week prior to submission of this application.
    One attested and pasted on this application form and the other attested at the
    back for the Admit Card.
    Face should be clearly visible
    []Copy of National Identity Card / Passport (page 1 & 2).
    []Self-addressed envelope (4.5 x 8.5 inches).

    You might also like