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KIMS Prospectus 2012-2013 - Khyber Medical University

KIMS Prospectus 2012-2013 - Khyber Medical University

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Affidavit for Completion of Study<br />

STUDY COMPLETION BOND<br />

To be filled by the student on Stamp paper of Rs. 30/- and duly attested by First Class Magistrate/Political<br />

Agent/Oath Commissioner in the presence of two witnesses.<br />

I__________________________________________S/D/W of________________________________hereby<br />

solemnly affirm that I will complete the whole tenure of my study of five years MBBS Programme in <strong>KIMS</strong>.<br />

I will not seek admission in any other medical institute nor I will reappear in ETEA test at any stage of my study<br />

tenure.<br />

I further agree to the provision that my original documents shall remain in safe custody with <strong>KIMS</strong> till the<br />

completion of my study tenure and I shall not demand for its return back to me before the completion of my<br />

study tenure.<br />

In case, I intend to cancel my admission at any stage of my study period, after the closure of admission, I shall<br />

be liable to a penalty of Rs. 400,000/- (Three Hundred Thousand) for wasting a precious seat. The original<br />

document will be returned to me only after the payment of the due penalty.<br />

Signature of Student ............................................................................................................<br />

Name of Student ............................................................................................................<br />

Father's Name of the student ............................................................................................................<br />

CNIC # of the student ............................................................................................................<br />

Present Postal Address ............................................................................................................<br />

............................................................................................................<br />

............................................................................................................<br />

Permanent Address ............................................................................................................<br />

............................................................................................................<br />

............................................................................................................<br />

Witness No. 1 Signature...............................................................................................<br />

Name ............................................................................................................<br />

Father's Name ............................................................................................................<br />

CNIC No. ............................................................................................................<br />

<strong>Prospectus</strong> KMU Institute of <strong>Medical</strong> Sciences <strong>2012</strong>-13<br />

57

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