Scribd Logo
Upload

Welcome to Scribd!

  • Pakistan Medical Comission Provisional License Form: Title of Qualification

    Uploaded by

    Saif Hashmi
    9 views2 pages
    The document is a provisional license form from the Pakistan Medical Commission for applicants seeking a provisional medical license. It requests personal information from the applicant such as name, father's name, address, contact details, education details including name of college and university attended and marks obtained. The applicant is asked to provide details of their medical qualification year-wise, number of attempts taken and additional remarks. The applicant needs to sign and submit the form along with a recent photograph.

    Original Description:

    Original Title

    Provisional_License_form_for_MBBS & BDS

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document is a provisional license form from the Pakistan Medical Commission for applicants seeking a provisional medical license. It requests personal information from the applicant such as name, father's name, address, contact details, education details including name of college and university attended and marks obtained. The applicant is asked to provide details of their medical qualification year-wise, number of attempts taken and additional remarks. The applicant needs to sign and submit the form along with a recent photograph.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views2 pages

    Pakistan Medical Comission Provisional License Form: Title of Qualification

    Uploaded by

    Saif Hashmi
    The document is a provisional license form from the Pakistan Medical Commission for applicants seeking a provisional medical license. It requests personal information from the applicant such as name, father's name, address, contact details, education details including name of college and university attended and marks obtained. The applicant is asked to provide details of their medical qualification year-wise, number of attempts taken and additional remarks. The applicant needs to sign and submit the form along with a recent photograph.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    PAKISTAN MEDICAL COMISSION

    <Attach one recent


    Provisional License Form photograph here.
    Website: pmc.pakistan.gov.pk Email: info@pmc.pakistan.gov.pk Write your name on
    the back of the
    photograph as well>
    Title of Qualification e.g. MBBS or BDS

    Submission Date: _______________________

    Applicant’s Name:
    ______________________________________________________________________________

    Father’s Name:
    ______________________________________________________________________________
    Name of College:
    ______________________________________________________________________________

    Address of College:
    ______________________________________________________________________________
    ______________________________________________________________________________

    Name of University:
    ______________________________________________________________________________

    C.N.I.C no:________________________________________Date of Birth________________

    Permanent Address:
    ______________________________________________________________________________
    ______________________________________________________________________________
    Postal Address:
    ______________________________________________________________________________
    ______________________________________________________________________________
    Contact No (Cell or landline) : _________________________________________________
    Email:________________________________________________________________________
    University Registration No: _____________________________________________________
    Nationality: _______________________________
    Domicile: _________________________________ Gender: Male or Female (check one)

    Result Declaration Date


    _____________________________________________________________________________

    Additional Information Required

    YEAR 1st 2nd 3rd 4th 5th

    Marks        

    Attempts        

    Remarks
           
    Pass / Fail

    Applicant’s Signature: ___________________________________

    You might also like