APPLICATION FORM

For Admission in MBBS Courses Sindh Province

(Public Sector Institutes) 1. Paste here your
Academic Session 2022-23 recent photograph and
submit Four attested
DISTRICT extra copies with the
application form.
2. Ensure your full
name is written on the
back of each photograph.

For the candidates of SMBBMC Lyari

Mention the Town :
NOTE: Please read the form carefully and fill all the columns In Block Letters with Blue / Black Pen
Online forms are mandatory to be filled at the following URL:
http://admissions.duhs.edu.pk (for the candidates of Karachi)
http://www.lumhs.edu.pk (for the candidates of Tagged districts of LUMHS Jamshoro)
http://www.smbbmu.edu.pk (for candidates of Tagged districts of SMBBMU Larkana)
PERSONAL INFORMATION
Name of Applicant:
Father’s Name: Surname:

Male Female
Date of Birth: Age:

Nationality: Religion:
District of Domicile (Candidate):
District of PRC (Candidate):
District of Domicile (Father/Mother):
CNIC or ‘B’ form No: of candidate (if CNIC is not available)
Date of issuance of CNIC/B-Form:
Candidate’s Email: Phone No: Mobile No:
PARTICULARS OF MDCAT
MDCAT Seat No Test Center Year of Passing MDCAT Score

Name of Examination Matric Science / O Level as per Inter Science / A level as per
IBCC Equivalence IBCC Equivalence
Seat No
Passing Year
Name of Board
Total Marks Obtained / Out of
Division / Grade
% Percentage
Marks Obtained in Chemistry Physics Biology Total
Science subjects in (out of
P-1 (100) P-2 (100) P-1 (100) P-2 (100) P-1 (100 P-2 (100)
Intermediate 600)
examination Th: Pr: Th: Pr: Th: Pr: Th: Pr: Th: Pr: Th: Pr:

Date of Submission Signature of Father/Guardian Signature of Applicant

1
 PARTICULARS OF FATHER /GUARDIAN
Name: Occupation:

Designation: Department:

Office Phone No. Mobile no.:

Father / Guardian CNIC No: Email:

Present Address:
Permanent Address:
CONTACT IN EMERGENCY
Name of Person:

Relationship: Phone No: (Home) Mobile No:

Address:

Note: All the candidates are advised that application forms should be filled with due care and options will
be considered as per merit cum choice basis.
OPTION FOR ADMISSION IN THE MEDICAL INSTITUTIONS
If I am selected on open merit basis, I hereby give my priority wise option for admission in the following Medical Colleges/Institution in
Sindh, Balochistan and AJK Muzaffarabad against Merit Cum Choice seats from the list given below.
1. Dow University of Health Sciences Karachi (DUHS)
2. Jinnah Sindh Medical University, Karachi (JSMU)
3. Liaquat University of Medical & Health Sciences, Jamshoro (LUMHS)
4. Peoples University of Medical & Health Sciences for women, Shaheed Benazirabad (PUMHSW)
5. Chandka Medical College, Larkana
6. Karachi Medical and Dental College, Karachi.
7. Shaheed Mohtarma Benazir Bhutto Medical College, Lyari, Karachi
8. Gambat Medical College, PAQS Jilani Institute of Medical Sciences, Gambat.
9. Ghulam Muhammad Mahar Medical College, Sukkur
10. Khairpur Medical College, Khairpur Mirs
11. Mohtrama Benazir Bhutto Shaheed Medical College Mirpur, Azad Kashmir
12. Muzaffarabad Medical College, Azad Jammu Kashmir
13. Poonch Medical College, Rawala Kot, Azad Kashmir
14. Bolan Medical College, Quetta, Balochistan
1) 9)
2) 10)
3) 11)
4) 12)
5) 13)
6) 14)
7)
8)
FOR HAFIZ E QURAN CANDIDATE YES _____ No________ (√)
FOR DISABLED CANDIDATES YES _____ No________ (√)
Important note for candidates
All candidates are advised to submit their application forms and required documents in an envelope, to be considered for
Open merit, self-finance and Reciprocal(Merit cum choice)
The website is the only communication media for latest notifications and information please remain updated.
For 25 seats in SMBBMC, Lyari, Karachi (division wise, from Hyderabad, Mirpurkhas, Shaheed Benazirabad, Larkana
and Sukkur) an application form will be available on website of DUHS (admissions.duhs.edu.pk )
For female candidates interested for admission in PUMHSW, Shaheed Benazirabad from tagged districts of PUMHSW
and application form available at website www.pumhs.edu.pk

Signature of Father /Mother/Guardian Signature of the Applicant

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 Fill all boxes with your present address Fill all boxes with your present address

Name: Name:

Father Name: Father Name:

Present Address Present Address

Tel No: Tel No:

Mobile No: Mobile No:

Fill all boxes with your present address Fill all boxes with your present address

Name: Name:

Father Name Father Name

Present Address Present Address

Tel No: Tel No:

Mobile No: Mobile No:

Fill all boxes with your present address Fill all boxes with your present address

Name: Name:

Father Name Father Name

Present Address Present Address

Tel No: Tel No:

Mobile No: Mobile No:

Fill all boxes with your present address Fill all boxes with your present address

Name: Name:

Father Name Father Name

Present Address: Present Address

Tel No: Tel No:

Mobile No: Mobile No:

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Two sets of documents shall be submitted with application form

CHECK LIST FOR MBBS PROGRAM SESSION 2022-23

Cheek
S.No Particulars
box (√)
1 Photocopy of MDCAT 2022/2021 Admit card slip.

2 Photocopy of MDCAT 2022/2021 result.

3 University copy of Paid processing fee voucher.

4 Filled application form.

5 Copy of Matriculation Certificate (SSC) or O-Level Equivalence Certificate by IBCC.

6 Copy of Matric marks certificate/ O-Level Transcript certificate.

Copy of HSC Pre-Medical Certificate (Provisional) or A-Level equivalence Certificate by
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IBCC.
8 Copy of HSC Pre –Medical marks certificate / A-Level Transcript certificate.

9 Copy of Hafiz e Quran Certificate (if applicable).

Copy of Disability Certificate from Sindh Social Welfare Department / Civil Services
10
Hospital (if applicable).
11 Copy of candidate’s Domicile.

12 Copy of candidate’s permanent residence certificate (PRC-Form “C”).

13 Copy of Domicile Certificate of father.

In case of father not alive, copy of Death certificate of father from NADRA and copy of
14
domicile of mother.
15 In case of divorce, copy of divorce certificate along with copy of domicile of mother.

16 Copy of National identity card or “B” form (if candidate is below age of 18 years).

17 Copy of CNIC of Father.

Four Passport size photographs of candidate with his /her name duly written on the
18
back side of these photographs (other than pasted on the application form).

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 BANK COPY FINANCE COPY INSTITUE COPY STUDENT’S COPY

Dow University of Dow University of Dow University of Dow University of

Health Sciences Health Sciences Health Sciences Health Sciences
Customer Code: DUAPF Customer Code: DUAPF Customer Code: DUAPF Customer Code: DUAPF
MEEZAN BANK LTD./UBL MEEZAN BANK LTD./UBL MEEZAN BANK LTD./UBL MEEZAN BANK LTD./UBL
A/C. #: 2 4 3 8 3 3 8 0 9 A/C. #: 2 4 3 8 3 3 8 0 9 A/C. #: 2 4 3 8 3 3 8 0 9 A/C. #: 2 4 3 8 3 3 8 0 9

Course: MBBS Course: MBBS Course: MBBS Course: MBBS

Due date: 13/12/2022 Due date: 13/12/2022 Due date: 13/12/2022 Due date: 13/12/2022
Applicant CNIC #: Applicant CNIC #: Applicant CNIC #: Applicant CNIC #:
- - - - - - - -

Name Name Name Name

Father’s Father’s Father’s Father’s
Name Name Name Name

Detail of Fee Amount Detail of Fee Amount Detail of Fee Amount Detail of Fee Amount
Application Processing Fee 2,000 Application Processing Fee 2,000 Application Processing Fee 2,000 Application Processing Fee 2,000
Total Rs. 2,000 Total Rs. 2,000 Total Rs. 2,000 Total Rs. 2,000
Rupees Two Thousand Only Rupees Two Thousand Only Rupees Two Thousand Only Rupees Two Thousand Only

Receiving Branch Receiving Branch Receiving Branch Receiving Branch

Student Signature Student Signature Student Signature Student Signature
Stamp & Signature Stamp & Signature Stamp & Signature Stamp & Signature

Note: * Payment is Non-refundable. * For any issue in submission of fee in Meezan Bank please contact 0301-1191356.
* Fee submission related issues may be enquired at cms.fee@duhs.edu.pk. * No payment shall be accepted after the Due Date.
* Fee voucher may be submitted at any Meezan or UBL bank branch of Pakistan.