Bank Copy PMC Copy Applic ants's Copy

Pakistan Medical Commission Pakistan Medical Commission Pakistan Medical Commission

G-10/4 Mauve Area, Islamabad G-10/4 Mauve Area, Islamabad G-10/4 Mauve Area, Islamabad

MCB TBD Collec tion A/C: 1226540861000010 MCB TBD Collec tion A/C: 1226540861000010 MCB TBD Collec tion A/C: 1226540861000010
TBD Customer Code: PMC02 TBD Customer Code: PMC02 TBD Customer Code: PMC02
Challan #: 2220065639 Due Date: 08-07-2021 Challan #: 2220065639 Due Date: 08-07-2021 Challan #: 2220065639 Due Date: 08-07-2021

Applic ant Name: MAHRUNG RAEES Applic ant Name: MAHRUNG RAEES Applic ant Name: MAHRUNG RAEES
Applic ant's CNIC: 5220328292404 Applic ant's CNIC: 5220328292404 Applic ant's CNIC: 5220328292404
Applic ant's Reg. Number: 4909/M/BMCQM Applic ant's Reg. Number: 4909/M/BMCQM Applic ant's Reg. Number: 4909/M/BMCQM
Depositor's Name: Depositor's Name: Depositor's Name:
Depositor's CNIC: Depositor's CNIC: Depositor's CNIC:
Depositor's Contac t#: Depositor's Contac t#: Depositor's Contac t#:
Deposit Date: Deposit Date: Deposit Date:
Payment Mode: Payment Mode: Payment Mode:

Sr.# Fee Description Amount Sr.# Fee Description Amount Sr.# Fee Description Amount
1 Provisional Lic ense - Pak Graduates 1000/- 1 Provisional Lic ense - Pak Graduates 1000/- 1 Provisional Lic ense - Pak Graduates 1000/-
2 Bank Charges 30/- 2 Bank Charges 30/- 2 Bank Charges 30/-
Total: One Thousand Thirty Only 1030/- Total: One Thousand Thirty Only 1030/- Total: One Thousand Thirty Only 1030/-

Instructions: Instructions: Instructions:

1. The applic ant must fill in c omplete partic ulars and 1. The applic ant must fill in c omplete partic ulars and 1. The applic ant must fill in c omplete partic ulars and
no field be left blank. no field be left blank. no field be left blank.
2. The fee is payable at any branc h of MCB Bank. 2. The fee is payable at any branc h of MCB Bank. 2. The fee is payable at any branc h of MCB Bank.
3. The fee shall not be ac c epted after due date. 3. The fee shall not be ac c epted after due date. 3. The fee shall not be ac c epted after due date.

Depositor's Signature Cashier's Signature Depositor's Signature Cashier's Signature Depositor's Signature Cashier's Signature

Issuanc e Date: 08-06-2021 Issuanc e Date: 08-06-2021 Issuanc e Date: 08-06-2021