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Medical Application Form -

Session 2018 
Uploaded by Muhammad Ashhad

Medical from Full description

Digital Implant Nust Paying Letter of
    Symposium Invite Cadet Application CAE
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MEDICAL APPLICATION FORM - SESSION 20

ADMISSION IN AM COLLEGE & NUMS AFFILIATED
AGAINST PAYING CADET SCHEME
NUMS ROL

Form will not be accepted wit

READ THE INSTRUCTIONS CAREFULLY BEFORE FILLING
Please fill in all entries in block letters in legible handwriting.
1. CANDIDATE’S PARTICULARS
Name _______________________________________________________ Date o f Birth_______

CNIC/Form ‘B’ No - - Home District ______

Tel No _________ ____________Cell No ______________________ Email __ _____________
2. FATHER’S/MOTHER’S PARTICULARS
Service No ____ __________ Rank ___ ___________ Name ____________________________
Arms /Service _______ _____ Alive: (Yes/No) ____ ___ Tel No ______________________Ce

(TO BE FILLED BY RETIRED ARMY PERSONNEL ONLY)

Day Month Year

 a. Comm ission/Enrolment Date e. Total Service
Related titles / /

b. Retirem ent Date (SOS) / /

f. Drawing Pension
c. LPR (If aval): From ________ ___________ To _________ _______
d. Caus e of Retirem ent ____ ____ __________________________________________________

3. CATEGORY OF PARENTS. Tick the right category in empty boxes (at the time of last date of
a. Shaheed b. War Wounded c. Serving (incl LPR) d. Retired e. Def Paid

4. POSTAL ADDRESS. ___________________________________________________________

____ __________________________________________________________________________
Digital Implant Nust Paying Letter of Application Form Dentistry in the Norms for IHM
Symposium Invite Cadet Application CAE and Sample… USA
5. ACADEMIC QUALIFICATIONS
Question
Examinations Marks Obtained Total Marks Perce
Matric/O Level

FSc-I/FSc-II/A Level

6. CHOICE OF DISCIPLINE. Priority of Discipline/Choices be filled with due care. Entry Test
in NUMS is MANDATORY (Ref Para 13a). Indicate priorities by numbering i.e. 1, 2 in empty box

Choices of Disciplines Choice of Colleges

a. MBBS a. AM College Rwp

b. CMH LMC Lhr
b. BDS c. CIMS Mtn
d. CIMS Bwp
Note: Form will not be accepted if
empty box not crossed. e. CMH Kharian
f. KIMS Kci
g. QIMS Quetta
NOTE :- A fter dec laration of N
stud ent M US T al so a l to N
7. Have you ever been (Ref Instruction s and Para 17):-
a. Nomi nated through a nomi nation letter by W&R Dte as PC/ASC or sel ected on
complete detail with roll numb er _____________________________________
b. Selected/withdrawn as regul ar cadet in Military Institution s of Pak Army/Nav
_______ ____ _______ ____ ____ _______ _______ ____ ____ ____ ____ ____
Note: Old form will not be accepted .
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