Collecting Branch copy University A/C copy Application Form copy Candidate copy

Admission in MBBS & BDS Course Admission in MBBS & BDS Course Admission in MBBS & BDS Course Admission in MBBS & BDS Course
Private Sector Medical Universities / Private Sector Medical Universities / Private Sector Medical Universities / Private Sector Medical Universities /
Colleges in Sindh Colleges in Sindh Colleges in Sindh Colleges in Sindh
(Academic Session 2019-20) (Academic Session 2019-20) (Academic Session 2019-20) (Academic Session 2019-20)
PROCESSING FEE VOUCHER PROCESSING FEE VOUCHER PROCESSING FEE VOUCHER PROCESSING FEE VOUCHER
Habib Bank Limited Habib Bank Limited Habib Bank Limited Habib Bank Limited
Account # 00727900180901 Account # 00727900180901 Account # 00727900180901 Account # 00727900180901
Any Branch of HBL Any Branch of HBL Any Branch of HBL Any Branch of HBL
Due Date / Last Date: 21-10-2019 Due Date / Last Date: 21-10-2019 Due Date / Last Date: 21-10-2019 Due Date / Last Date: 21-10-2019
Application No. 10644 Application No. 10644 Application No. 10644 Application No. 10644
Name:Sania Name:Sania Name:Sania Name:Sania
Father Name: Saeed Ahmad Father Name: Saeed Ahmad Father Name: Saeed Ahmad Father Name: Saeed Ahmad
District of domicile:Raheem Yar Khan District of domicile:Raheem Yar Khan District of domicile:Raheem Yar Khan District of domicile:Raheem Yar Khan
Details of fee Amount Details of fee Amount Details of fee Amount Details of fee Amount

Application Processing fee Rs. 2500.00 Application Processing fee Rs. 2500.00 Application Processing fee Rs. 2500.00 Application Processing fee Rs. 2500.00

Total Rs. 2500.00 Total Rs. 2500.00 Total Rs. 2500.00 Total Rs. 2500.00

Amount in words: Amount in words: Amount in words: Amount in words:

Rupees two thousand five Hundred only Rupees two thousand five Hundred only Rupees two thousand five Hundred only Rupees two thousand five Hundred only

                                               

Signature of Applicant Signature of Applicant Signature of Applicant Signature of Applicant

For office use For office use For office use For office use

       

Receiving bank Branch Stamp & Receiving bank Branch Stamp & Receiving bank Branch Stamp & Receiving bank Branch Stamp &
Signature Signature Signature Signature