Punjab Medical Faculty: Examination Application Form

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Punjab Medical Faculty

62/A - D, New Muslim Town, Wahdat Road, Lahore

Examination Application Form


Paste one passport size
coloured photograph
without attestation
Official Use for Diary Section
PMF Diary No. ________________
Date ________________________

Official Use for Examination Section


Old Scheme New Scheme Roll No. ______________________
1st Year 2nd Year No. of Attempts _______________
* Candidate of new scheme appearing in 2nd year exam but failed in 1st year, will have to submit separate exam forms for 1st year & 2nd year

Category Session
Challan/Draft# Amount Rs. Deposit date

PERSONAL DETAIL
Candidate Name

Father's Name

CNIC/ Bay-Form - -

Date of Birth - - PMF Registration No. ___________________

CONTACT INFORMATION
Postal Address

Mobile:

Paramedical Training Information


Institute Name
Training Year

For Failed Candidates Only


Previous Sesion Registration No. Previous Roll No.

Failed Paper(s) Detail

Preference for Theory Exam Center: Lahore Multan Rawalpindi


Sargodha Bahawalpur Faisalabad

For Regular Students Only (Should be filled by the Head of Paramedical Training Institute)
This is to certify that Mr./ Miss _____________________________ s/o, d/o ____________________
has completed the training tenure for Paramedical category _________________________________
of ________________ duration, from _______________ to ____________________. His/ her overall
performance and class participation is satisfactory. I recommended him/ her for the said exam.

Stamp of Head of Institute Signature of Head of Institute

Signature of Candidate
Official Use for Accounts Branch

Receipt No. ____________ Dated ________


Rs. ____________________ Bank Draft/
Pay Order No. ______________________
Accountant Signature ________________

Official Use for Examination Section

The information on the front side of this form is


found correct.

Checked By _________________________
Counter Checked By _________________

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