Applicant Assessment form for Admission Process 申请人评估表

1. MBBS Admission Required in

University Name Ningxia Medical University (NXMU)

2. Student’s Personal Information

Full Name (as mentioned in passport): NAWAF

Passport Number/CNIC # FX9997573/36302-9840757-1 Date of Expiry: 06 AUG 2033

Date of Birth: 31 DEC 2004 Place of Birth: JEDDAH, SAU

Email ID: nawafrauf330@gmail.com Contact # 0327-1133826

Residence Address: Nawan Shaher Bukhary Colony, House NO# 536/43, Street NO# 11 MULTAN

3. Academic Qualification
Degree/Certificate Start Year – End Year Name of Institution

SSC (grade 10) 2019-2021 Country Camp Schooling System Multan

HSSC (grade 12) 2021-2023 City College of Science and Commerce Multan

4. Guardian Information & Contact Details

Father's Name ABDUL RAUF Father’s Contact # 0300-2033826

Father's CNIC # 36302-0485875-9 Date of Birth: 12-04-1958

Father’s occupation & Rank Retired from Saudi Electricity Power Plant SAU

Mother's Name NAILA RAUF Mother's Contact # 0345-8433827

Mother's CNIC # 36302-0428625-8 Date of Birth: 02-09-1965

Mother’s occupation, Rank : House Wife

Emergency Contact Number, Name & Relationship: 0300-2033826, ABDUL RAUF, Father

5. Name of Financial Supporter & Relationship, Contact & Address (According to Bank statement)
ABDUL RAUF, Father, 0300-2033826, Nawan Shaher Bukhary Colony, House NO# 536/43, Street NO#11

MULTAN PAKISTAN

Signature of Applicant __________________________ Signature of Guardian _______________________