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Application Form

This document is an application form for candidates applying to the Shaikh Zayed Federal Post Graduate Medical Institute in Lahore. It collects personal information, academic records, and details about professional experience, certifications, and publications. The applicant must declare the accuracy of the information provided and agree to abide by the institute's rules and regulations.

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18 views4 pages

Application Form

This document is an application form for candidates applying to the Shaikh Zayed Federal Post Graduate Medical Institute in Lahore. It collects personal information, academic records, and details about professional experience, certifications, and publications. The applicant must declare the accuracy of the information provided and agree to abide by the institute's rules and regulations.

Uploaded by

raohanzla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SHAIKH ZAYED FEDERAL POST GRADUATE MEDICAL INSTITUTE, LAHORE

APPLIED DEPARTMENT:- ________________________________________________

Name of Candidate:-

Father's Name:-

Phone Number:-

CNIC:-

PMC Registration No:-

Email:-

Domicile

Examination Passed
Marks
Year of Total Marks 25 % Weightage of
Obtained in % of all Prof Attempts MBBS College Name
Passing in all Prof MBBS
MBBS all Prof

Academic/Professional Record

House Job or any experience of


Public Federal Private Foreign Host SZMC/FPGMI
No. of Distinctions
MBBS Passing Sector:-

DETAIL OF BLS, SOFT SKILLS WORKSHOP AND PUBLICAITON

BLS (ALS, ATLS, PALS & ACLS) NAME OF INSTITUTE & YEAR OF COURSE:-

SOFT SKILLS WORKSHOP NAME OF INSTITUTE & WORKSHOP TITLE:-

NAME OF JOURNAL:-

PUBLICATION STATUS OF PUBLICATION (√):- INPROCESS OR PUBLISHED

APPROVED FROM (√):- HEC PMC PubMed Indexed

Undertaking by the Applicant:-


I do hereby declare that the above & attached info are correct in all respect and that I have not concealed anything.I shall abide by all the rules & regulations as set by FPGMI and the
concerned University/college. I also agree that if I do not show satisfactory progress, I may be taken off the course.

Signature

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