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STUDENT IDENTITY CARD FORM (MBBS) Paste Passport Size

KING EDWARD MEDICAL UNIVERSITY, Photograph

LAHORE

Name (Capital Letters):_______________________________________________________

Father’s Name: _____________________________________________________________

Class: __________________ Session: ___________________ Roll No: _______________

Registration No: _____________________ CNIC No: ______________________________

Date of Birth: _______________________ Nationality: _____________________________

Religion: ___________________________ Blood Group: ___________________________

Address: __________________________________________________________________

_________________________________________________________________________

Student Cell No: _____________________ Father Cell No: _________________________

Father Occupation / Work Place: _______________________________________________

_________________________________________________________________________

Candidate’s Signature: _________________

Verified By: __________________________

Date: ______________________________

Note: Submit copy of following documents;

1. CNIC
2. B-Form (If CNIC not available)
3. Passport (For Foreigner)

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