kmu values - Khyber Medical University

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Serial No. _________ APPLICATION FORM FOR ADMISSION IN BS PHYSIOTHERAPY SESSION 2011 (The form should be filled in BLOCK letters) Note: Please read the instructions given in the admission policy in the prospectus and on the reverse of application form before filling this form Please tick (√ ) in the relevant box from where you are applying for? KP/ FATA/PATA Baluchistan: Afghan/Foreign: Name:____________________________________________________ ________________________________________ IPM & R (KMU) (As per SSC or equivalent certificate in BLOCK letters) Father’s /Husband’s Name:____________________________________________________________________________ (As per SSC or equivalent certificate in BLOCK letters) Date of birth (yyyy/mm/dd):___________________________Gender: M F Married/Unmarried Place of birth:___________________________ Domicile:___________________ Nationality: ____________________ Mailing address:____________________________________________________________________________________ __________________________________________________________________________________________________ Phone: (Res)____________________ (Cell)__________________ Email:______________________________________ Permanent address:__________________________________________________________________________________ __________________________________________________________________________________________________ In case of emergency please contact Name______________________________Address:________________________________________________________ __________________________________________________________________ Phone:__________________________ Have you entered in medical college entry test before? Yes / No If yes, record of entrance tests: Educational Record Qualification SSC (Science)/ equivalent F.Sc(premedical) Year of passing Annual /Suppl. For office Use only FOR OFFICE USE ONLY Remarks / Requirements Year Entrance test ID Results Exam. Roll No Marks obtained Total mark Attempts Name of board Paste three photographs
Receipt No. ___________________ Dated: ________ _________________ Checked by Member of Scrutiny Committee: ______________________ Chairman Scrutiny Committee: Father's Income and Occupation:______________________________________________________________________ Guardian's Name: __________________________________________ Income & Occupation:________ _____________ Exact Relationship with the Guardian:_________ __________________________________________________________ Were you ever involved in criminal proceeding in a Court of Law? If Yes, attach brief account: _____________________ __________________________________________________________________________________________________ Name of School from where SSC passed: __________ _____________________________________________________ Name of college from where F.Sc Passed : ______________________________________________________________ Certified that facts produced are correct to the best of my knowledge Signature of the Applicant’s Father/Guardian Signature of the Applicant NIC No:_________________________________. NIC No: _______________________________ ATTESTED DOCUMENTS REQUIRED WITH APPLICATION FORM The following documents must be attached with the application form in the following sequence: Applicants must attach with application form the following attested Photostat copies of the below mentioned Certificates and documents in the following sequence. The documents & certificates must be attested by Gazetted Officer/ Nazim. The stamp of the officer must bear full name, designation and current place of duty Note: Check (� ) the relevant box for the attached documents. Two copies of detailed Marks Certificate of examination on the basis of which admission is sought (F.Sc or equivalent). An equivalence certificate from the Inter-Board Committee of Chairmen, Islamabad, if the qualifying certificate is from an Institute abroad. A copy of Secondary School Certificate Examination (Science /equivalent). Two copies of domicile certificate (domicile certificate submitted with the entry test form will not be changed). A copy of Computerised National Identity Card of the candidate, copied on Full size paper A copy of computerized National Identity Card of the father of the applicant copied on Full size paper, if the father is not alive, a copy of the National Identity Card of the mother & guardian. A copy of attempt certificate from the concerned BISE, if the period between SSC and F.Sc is more than two sessions. Undertaking on judicial stamp paper of Rs. 20/- duly attested by notary public /Political Agent as per specimen given in the prospectus/admission. Three passport size coloured photographs of the applicant attested on the back. IMPORTANT NOTES/INSTRUCTIONS 1. Photostate of Admission Form is not accepted. 2. Candidates not having domicile of KPK/FATA are not eligible to apply for admission on KPK/FATA seats. 3. All applicants must appropriately fill and sign the admission form and undertaking. Incomplete/not properly filled form in any respect will be rejected. Avoid rewriting/cutting, while filling the form. 4. The undertaking/agreement must be filled in by the candidate on Judicial Bond of Rs. 20/- and should be duly attested by the Political Agent/First Class Magistrate and attached with the application form. The specimen proforma for undertaking is attached with the application form. 5. Applications should reach office of the Principal/Director on or before the closing date and time. Applications received after the due date and time will not be entertained for admission. No forms will be accepted in mail/courier. 6. Applicant must study the Admission Policy of Khyber Medical University in order to understand the Rules. 7. The domicile, DMC of F.Sc. (Pre-Medical)/Equivalent Examination, SSC and other certificates once submitted with the admission form cannot be changed and shall be considered as final. Revision of result or improvement of marks by the board/IBCC after the finalization of merit list shall not affect the merit list of admission of current year in any way. All the above-mentioned certificates issued after the dates fixed for receipt of application forms shall not be entertained. 8. Application forms with any false statement by the candidate will be rejected 9. If any certificate submitted by the candidate is found false, or forged during his/her study period his/her admission shall be cancelled forthwith and he/she shall be blacklisted for admission to any professional colleges in KPK. Further legal action can be taken against the student under the existing criminal laws. IPM & R (KMU)
Page 1 and 2: PROSPECTUS Bachelor of Science (B.S
Page 3 and 4: Khyber Medical University reserves
Page 5 and 6: Teaching Faculty...................
Page 7 and 8: MESSAGE OF VICE CHANCELLOR Khyber M
Page 9 and 10: Advising and influencing the govern
Page 11 and 12: ADMISSION POLICY 1. Selection Crite
Page 13 and 14: The Chairman of Admission Committee
Page 15 and 16: Teaching Faculty 1. Core Faculty: 1
Page 17 and 18: Inauguration of New building of IPM
Page 19 and 20: COURSE OF STUDIES The curriculum of
Page 21 and 22: Year 4, Semester 7 S/No Subject Cre
Page 23 and 24: Total 350 50 400 Year 3, Semester 6
Page 25 and 26: a) Doing anything which may cause i
Page 27: Father’s Name ___________________

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