KING EDWARD MEDICAL UNIVERSITY, LAHORE

The Vice Chancellor,

King Edward Medical University,
Lahore.
SUBJECT:

REQUEST FOR ELECTIVE/COMPULSORY

EXTERNAL STUDENTS.

ROTATION

Respected Sir,
I Dr.__________________________ S/o / D/o ________________________

student

of

_________________________________________enrolled

vide

order

(Program,Specialty&Session)
No.________________________ Institution ___________________________________ under

supervision of ___________________ Department_______________ want to apply for rotation

for my training program requirement in the following departments.

Ward/ Unit

From (Date)

To (Date)

Duration

Name ----------------------------PGR -----------------------------Signature--------------------------

Signature & Stamp (Supervisor of KEMU) ___________________________________

OFFICE OF THE VICE CHANCELLOR, KING EDWARD MEDICAL UNIVERSITY,
LAHORE.

Signature ______________________

FOR

KING EDWARD MEDICAL UNIVERSITY, LAHORE

The Vice Chancellor,
King Edward Medical University,
Lahore.
SUBJECT:

REQUEST FOR FREEZING OF TRAINING

Respected Sir,
I Dr.__________________________ S/o / D/o ________________________

student

of

__________________________enrolled

vide

order

No.________________

(Program,Specialty&Session)
under supervision of ___________________ Department_______________ want to apply for

freezing

of

my

training

program

_________________

w.e.f ______________to________________.

FREEZING DURATION: ____________________________________________________

(Days /Months)
Personal/Family

Reasons:

Financial

Medical

Detail:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

_________________________________________________________________

Signature of Applicant

Signature & Stamp (Supervisor) _______________________

OFFICE OF THE VICE CHANCELLOR, KING EDWARD MEDICAL UNIVERSITY,
LAHORE.

Signature ______________________