 Application No: SZABMU-FMDC-2019-15600

Personal Information

Full Name Zohaib Ahmad Father's Name Arshad Ali Bhatti

CNIC 35202-6681365-3 DOB 27-01-2001

Gender male Marital Status single

Email zohaibahmad1052@gmail.com Are you Disabled Student? No

Nationality Pakistan Domiclie Punjab

Mobile Number 03074165027 Landline Number 03074165027

Current Address Street No. 40,Muhallah Permanent Address Street No. 40,Muhallah
Sufiyabad Nain Sukh,Shahdara Sufiyabad Nain Sukh,Shahdara
,Lahore ,Lahore

Is your Father/ Mother Federal No Are you Hafiz E Quran? No

Government Employee?

Educational information

Degree Board/ University Roll Number Major Subjects Total Obtain Year of
Marks Marks Completion

SSC Lahore Board 238277 Science 1100 1052 2017

HSSC Lahore Board 536544 Pre-Medical 1100 1029 2019

Entery Test Details

Testing Body Roll Number Total Marks Test Score Test Date

UHS 1020138 200 175 25-08-2019

Fee Details

Bank Name Draft/Pay Order Deposit Date

Number

Faysal Bank Limited. 6640095 21-10-2019

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I, Zohaib Ahmad Son of Arshad Ali Bhatti solemnly affirm and declare that all statements and particulars mentioned in the admission application are true to the
best of my knowledge and belief. I fully understand that if any of the statements, particulars or documents are found to be incorrect or forged, I would be subject to
refusal of admission or if admitted, I will be subject to expulsion from the college without notice at any time during the course of my studies with no right to appeal in
any Court of Law

Please attach the following documents along with application

For Open Merit/Quota:
 Orignal Bank Draft/ Pay Order in favor of Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad
 One (1) attested copy of Matriculation (SSC) Certificate or Result card issued by concerned BISE/Equivalence Certificate of O-Level etc.
issues by IBCC.
 One (1) attested copy of HSSC Pre-Medical result card issued by concerned BISE /Equivalence Certificate of A-Level/12th Grade etc.
issued by IBCC.
 One (1) attested copy of transcript/Mark Sheet of A-level/12th Grade etc. (In case of foreign qualifications) issued by concerned foreign
university/high school/board.
 One (1) attested copy of result card of Entrance Test SZABMU, UHS, LUMHS, BUMHS, KMU (MDCAT- 2019).
 One (1) attested copy of Domicile Certificate of the candidate.
 One (1) attested copy of CNIC/B-Form of the candidate.
 One (1) attested copy of CNIC of Father/Guardian.
 One (1) recent color passport size photograph of the candidate.
 One (1) attested copy of Hifz-e-Quran Certificate issues by a registered Madrassa (only for candidates claiming to be Hifz-e-Quran).

Additional Mandatory Documents for Quota:

 One (1) attested copy of disability certificate issued by specialist working in Govt. Hospital describing the nature of disability (For seats of
disabled persons only).
 One (1) attested copy of employment certificate issues by relevant Govt. institution (For seats of Federal Govt. Employees only).

Parent/Guardian Signature Applicant Signature