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P I N K

Dow University of Health Sciences, Karachi APPLICATION FORM for ADMISSION IN MBBS / BDS
SESSION 2007-08

Application No. (AP No.)

0001

for OVERSEAS CATEGORY

at DMC, SMC, DIIOHS and all Categories of DIMC


Note: Fill the form in BLOCK LETTERS.
S/o, D/o Place of Birth Female Male

Photograph

Name of Applicant Date of Birth Age on closing date

Education details:
DETAILS SCHOOL COLLEGE

System of education Date of Admission Date of Passing Out

Matric

O Level Inter Science or equivalence or equivalence

A Level

Name of Institution

Address of Institution

Total Marks Obtained


Matric Marks Obtained
O Level / Equivalence mark

Subjects
Biology Chemistry Physics

Marks Obtained Grades / Out of

SAT Score

PRIORITY OF COLLEGE 1. 2. 3.

1. 2. 3. 4. 5. 6. 7. 8.

Matric / O Level / Equivalent certificate attached .................. Yes Matric / Equivalent transcript attached ...............................Yes Inter Science / A Level / equivalent transcript ...................... Yes Inter Science / A Level / equivalent diploma .........................Yes Affidavit for Admission rules ............................................. Yes IBCC equivalence Certificate ............................................ Yes Proof of Being overseas Pakistani .......................................Yes Fathers domicile of with permanent Address of city 14. Fathers CNIC NADRA No.

No No No No No No No

of Candidate Email address Present address

of Father

Permanent address

Contact Nos. Tel. No. Cell No.

of Candidate

of Father

any other Relative

Signature of father/Guardian

Signature of the Applicant


DATE OF SUBMISSION

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