MDS Operative Dentistry

Islamabad Medical & Dental College
Main Murree Road, Bhara Kahu, Islamabad. Ph. 051-111 46 46 32, 92-51-2232045
Fax: 92-51-8433145, E-mail: [email protected] Website: www.iideas.edu.pk
Application for Admission in MDS Operative Dentistry Passport Size

Please read and follow the below mentioned instructions carefully: Photograph
1. Fill in the form in block letters. (Type/Write)
(attested on the
2. Do not over-write or use blocking fluids e.g blanco, etc.
front)
3. It is suggested that, at first the photocopy of each form to be filled. The original forms may then be filled accordingly.
4. The attesting authorities, where not mentioned, will be as per the rules of the Government of Pakistan.
Name of Applicant: Gender: Male Female
Fathers Name: Guardians Name:
Date of Birth: (DD/MM/ YYYY) Marital Status: Single Married
CNIC/Form B.No
Nationality : Passport No. (Foreign/Expatriate applicant):

Contact Details:
Res. Ph #: Personal Mobile1: Personal Mobile 2:
Personal Email:
Present Mailing Address:
Street Address District/Tehsil City Country
Permanent Address:
Street Address District/Tehsil City Country
Person to be contacted in case of emergency: Relationship:
Address:
Res. Ph #: Mobile #:
1 of 4 www.iideas.edu.pk
Application for Admission in MDS Operative Dentistry
Educational Qualifications
(Please attach attested photocopies of the supporting documents)
Certificate/Degree Institution Attended Board/University Grades/Marks Year Passed
SSC or Equivalent
HSSC or Equivalent
BDS
Any other
House Job (one year house job after graduation is mandatory for admission)
From To Institution
Professional Experience
Duration Position Institution
Honors/Medals/Positions/Scholarships
Achievement Institution/Occasion Year
Extra-Curricular Activities/Interests:
Declaration of the Candidate

I, Mr./Miss.........................................................Son / Daughter of......................................................................an applicant for
admission to Islamabad Medical & Dental College solemnly affirm and declare that all statements and particulars mentioned in
the admission application are true to the best of my knowledge and belief. I fully understand that if any of the above mentioned
statements, particulars or documents are found to be incorrect or forged, I would be subject to refusal of admission to the
Islamabad Medical & Dental College or if admitted, I will be subject to expulsion from the college without notice at any time
during the course of my studies with all dues paid by me to the college shall standing forfeited in addition to the initiation of
appropriate legal action against me.
Date: Signature of Applicant
Declaration of the Father/Guardian

I,.................................................................... Father/Guardian of Mr./Miss ...................................................................................
Undertake to fulfill all responsibilities, Financial obligations and otherwise, of my Son/ Daughter till the completion of his/her
studies.
Date: Signature of Father/Guardian
Sponsors Information:
Who will sponsor (bear) your educational expenses of this programme:
Father Mother Guardian Self Other
Monthly income of sponsor: Rs. US$ Foreign Source Pakistan Source
Can sponsor easily meet the educational expenses of whole duration of this programme? Yes No
Note: Please do not forget to attach the following with the application form:
Three attested copies of each of the following:
Matric/Equivalent Certificate
F.Sc (Pre-Medical)/Equivalent Certificate (From IBCC)
BDS Degree
Detailed marksheet/ Transcript
PMDC registration
House job certificate
Experience Certificate
2 recent passport size photographs (attested from back side)
Computerized National Identity Card/Form-B of the candidate
Computerized National Identity Card of Father/Guardian
English Proficiency Certificate (for foreigners only)
Workshop/Conference certificates ( if any)
Passport (for Foreign/Expatriate seats)
Note:
Applications forms downloaded from website must be accompanied by demand draft/ pay order of Rs. 2000/-
payable to Islamabad Medical & Dental College.
Online Applications without application fee will not be entertained.
The College authority(s) reserves every right to reject the admission at any time or on any grounds. mere submission
of the admission form is not the guarantee for admission in Postgraduate Programme.
Marks obtained Weightage
For office use only
Matric
F.Sc
Entry Test
Essay Writing
Interview
Total Weightage
Admission granted Admission not granted
Director Admissions

MDS Operative Dentistry

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Islamabad Medical & Dental College

Application for Admission in MDS Operative Dentistry Passport Size

Name of Applicant: Gender: Male Female

Fathers Name: Guardians Name:

Date of Birth: (DD/MM/ YYYY) Marital Status: Single Married

Nationality : Passport No. (Foreign/Expatriate applicant):

Person to be contacted in case of emergency: Relationship:

Declaration of the Candidate

Date: Signature of Applicant

Declaration of the Father/Guardian

Date: Signature of Father/Guardian

Father Mother Guardian Self Other

Monthly income of sponsor: Rs. US$ Foreign Source Pakistan Source

Online Applications without application fee will not be entertained.

Admission granted Admission not granted

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