Applicant Assessment form for Admission Process 申请人评估表

1. MBBS Admission Required in

University Name

2. Student’s Personal Information

Full Name (as mentioned in passport):

Passport Number/CNIC # Date of Expiry:

Date of Birth: Place of Birth:

Email ID: Contact #

Residence Address:

3. Academic Qualification
Degree/Certificate Start Year – End Year Name of Institution

SSC (grade 10)

HSSC (grade 12)

4. Guardian Information & Contact Details

Father's Name Father’s Contact #

Father's CNIC # Date of Birth:

Father’s occupation & Rank

Mother's Name Mother's Contact #

Mother's CNIC # Date of Birth:

Mother’s occupation, Rank :

Emergency Contact Number, Name & Relationship:

5. Name of Financial Supporter & Relationship, Contact & Address (According to Bank statement)

Signature of Applicant __________________________ Signature of Guardian _______________________