You are on page 1of 1

CMH LAHORE MEDICAL COLLEGE

& INSTITUTE OF DENTISTRY


Shami Road, Lahore Cantt: 042-36605550

Admission Willingness Certificate – MBBS - 2022-23

1. I, ________________________________S/D/O_________________________________

CNIC No. ___________________________ Merit No. __________ (as per NUMS Merit List (Open
Merit) – MBBS Dated: 31-12-2022), NUMS Candidate ID:________________
Phone No. _____________________is willing to get admission in the discipline of MBBS.

2. I further undertake to deposit the requisite fee on due date as per laid down by the college.

3. If you are already admitted in MBBS / BDS, please mention medical / dental college
name______________________________

___________________ _____________________
(Signature of Applicant) (Father / Guardian Signature)

Dated: ____ Jan 2023


_____________________________________________________________________________
(for Office Use)
Information Received by:
E-mail:
SMS
WhatsApp:
Reported Physically:
_____________________________________________________________________________

You might also like