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JINNAH SINDH MEDICAL UNIVERSITY

APPLICATION FORM
For Admission in MBBS & BDS Courses Sindh Province
(Private Sector Medical Universities / Colleges)
SESSION 2018-19
Application No: 03821

(NOTE: FILL THE FORM IN BLOCK LETTER)

Name of Applicant: DUA

S/o, D/o ABDUL REHMAN SHAIKH

Date of Birth 07/15/1999

Gender FEMALE

District KARACHI
Birth Place KARACHI Age:19
CNIC / Form-B No 4230137528568 Father's CNIC No:4230108989523
Candidate's Domicile KARACHI Father's Domicile:KARACHI

Matric Science/OLevel and Inter Science / A Level and

Name of Examination
Equivalent Examination equivalent Examination

Seat No 0206 0022

System of Education
O' LEVEL A' LEVEL

Passing Year 2016 2018

Name of Institute BEACONHOUSE SCHOOL BEACONHOUSE COLLEGE DEFENCE CAMPUS

City of Institute KARACHI KARACHI

Name of Board CAMBRIDGE CAMBRIDGE

Total Marks Obtained 630 Out of 900 Obtained 725 Out of 1100
Division/Grade A B
PROVINCIAL ENTRY TEST RESULT:
Date of Test 28-OCTOBER-2018
Province Name SINDH Marks Obtained: 67.25 Out of 100 Roll No: 3307189
Hifz e Quran NO Seat Category : LOCAL
E-mail Address duaashaikh15@gmail.com

Present Address AASHAINA APARTMENT ,FLAT NO 210 PLOT NO G-21 BLOCK 9 CLIFTON, KARACHI.

Permanent Address FLAT NO 210 , PLOT NO G-21 2ND FLOOR BLOCK 9 , AASHIANA APARTMENT CLIFTON KARACHI

Contact Number Candidate's Father's Other Relative

Telephone No 02135878239 02135871530

Cell No 03022737757 03332316476

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LIST FOR ADMISSION IN THE MEDICAL INSTITUTIONS

Medical Universities/College (MBBS) Private Dental Universities/College (BDS)
1. Al Tibri Medical College & Hospital, Karachi 1. Al Tamash Institute of Dental Medicine, Karachi
2. Baqai Medical University, Karachi 2. Baqai Medical University, Karachi
3. Hamdard University, Madinat al-Hikmah, Karachi 3. Bhitai Dental & Medical College, Mirpurkhas
4. Indus Medical College, Hyderabad 4. Fatima Jinnah Dental College, Karachi
5. Isra University, Hyderabad 5. Hamdard University, Madinat al Hikman, Karachi
6. Jinnah Medical & Dental College, Karachi 6. Isra University, Hyderabad
7. Liaquat College of Medicine & Dentistry 7. Jinnah Medical & Dental College, Karachi
8. Liaquat National Hospital Medical College, Stadium Road, Karachi 8. Liaquat College of Medical Sciences for Girls, Karachi
9. Muhammad Medical College, Mirpurkhas 9. Sir Syed College of Medical Sciences for Girls, Karachi
10. Sir Syed College of Medical Sciences for Girls, Karachi 10. Ziauddin Medical College, Ziauddin University, Karachi
11. United Medical Dental College, Karachi
12. Ziauddin Medical College, Ziauddin University, Karachi

OPTION FOR ADMISSION IN THE MEDICAL INSTITUTIONS

Write the name of the college in order of my choice. Once submitted cannot be changed. Candidate can apply both for MBBS and BDS via This Form
Medical Universities / College (MBBS) Private Dental University / College (BDS)
1. UNITED MEDICAL DENTAL COLLEGE, KARACHI 1. ZIAUDDIN MEDICAL COLLEGE, ZIAUDDIN UNIVERSITY, KARACHI
2. ZIAUDDIN MEDICAL COLLEGE, ZIAUDDIN UNIVERSITY, KARACHI 2. FATIMA JINNAH DENTAL COLLEGE, KARACHI
3. JINNAH MEDICAL DENTAL COLLEGE, KARACHI 3. HAMDARD UNIVERSITY, MADINAT AL-HIKMAH, KARACHI
4. LIAQUAT NATIONAL HOSPITAL MEDICAL COLLEGE, STADIUM ROAD, KARACHI 4. LIAQUAT COLLEGE OF MEDICINE & DENTISTRY, KARACHI
5. BAQAI MEDICAL UNIVERSITY, KARACHI 5. ALTAMASH INSTITUTE OF DENTAL MEDICINE, KARACHI
6. HAMDARD UNIVERSITY, MADINAT AL HIKMAH, KARACHI 6. BAQAI MEDICAL UNIVERSITY, KARACHI
7. LIAQUAT COLLEGE OF MEDICINE DENTISTRY, KARACHI 7.
8. AL TIBRI MEDICAL COLLEGE HOSPITAL, KARACHI 8.
9. SIR SYED COLLEGE OF MEDICAL SCIENCES FOR GIRLS, KARACHI 9.
10. ISRA UNIVERSITY, HYDERABAD 10.
11.
12.

Signature of Father / Guardian Signature of Applicant

LIST OF REQUIRED DOCUMENTS

Two set of attested photocopies of following documents are required to submit
1. Matric / O'Level Equivalence certificate and equivalent Examination
2. Matric / O'Level Marks sheet and equivalent certificate
3. Inter science / A'Level Mark sheet and equivalent Certificate
4. Inter science (Provisional) / A Level and equivalent Equivalence Certificate
5. Candidate domicile
6. Candidate CNIC / B.Form
7. Two Photograph
8. Candidate and Father's CNIC
9. Provisional Entry Test Result Copy
10. Affidavit Rs.100 stamp paper text appearing on website
11. Processing fee pay order of Rs. 2500/- in favor of Jinnah Sindh Medical University
APPLICATION FORM TO BE SENT:
Admission Cell, Jinnah Sindh Medical University, Rafiqui H.J. Shaheed Road-75510, Karachi
With photocopies of required documents

*4230137528568*

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