A recent photograph of

the candidate should be

P A S T E D

in this space duly attested

by the principal of the

medical college

concerned

The Controller of Examinations,

University of Karachi,

Karachi.

Through: The Principal College, Karachi.

- -

Karachi.

Indicate particulars of MBBS Fourth Professional

(Annual / Supplementary) Examination if taken previously Seat No. Year

NOTE: ATTESTED PHOTO COPIES OF ENROLMENT / ADMIT CARD / C.N.I.C. AND MARKS CERTIFICATE OF THE LAST

EXAMINATION MUST BE ENCLOSED.

I request your permission to present myself at the MBBS Fourth Professional Examination. Should any of the statements made in this

application be found false, or if it appears that in the opinion of the University Authorities, I have in any way contravened the provisions of the University

Act, Statutes, Ordinances, Regulations, Rules, Notification, Instructions etc., the University may take such actions against me, which may deem

necessary.

To,

Sir,

My particulars are as given below:

1 Full Name

2 Father’s Name

3 C.N.I.C. No.

4 Residential Address

(In block letters as entered in the Enrolment Card)

(In block letters as entered in the Enrolment Card)

5 Date of Birth 6 PTCL No:/ /

7 Paper in which the Candidate is appearing:

(To be filled in by the candidate himself / herself)

8 State if appeared at the MBBS Fourth Professional _________ year Examination in any previous year. If so mention

year _____________ Seat No. ________ Name of University __________________

9 State if appearing at any other examination simultaneously

Dated: Signature of Candidate

(To be filled in by the candidate)Enrolment No.

Form No.

Seat No.

Male

Female

(To be filled in by the office)

Rs. 100/-

Pathology

Community Medicine

Eye

E.N.T

Paper I

Paper II

Paper III

Paper IV

MBBS FOURTH PROFESSIONAL

ANNUAL / SUPPLEMENTARY EXAMINATION 20___

University Of Karachi M B B S

IV PROF

MBBS FO

URTH

PR

OFESSIO

NA

L

www.u

ok.ed

u.pk

Dated:

Signature of the

Principal of Medical College with seal

Office AssistantSignature of Dealing Clerk

I hereby certify that the above particulars given by the applicant in this form are correct and I further certify:

1. That the applicant has satisfied me by documentary evidences that he/she has passed M.B.B.S Third Professional

Examination in Annual/Supplementary of ________________ with Seat No. ____________ from the University

of_________________.

2. That he/she has attended 75% of lectures delivered in each subject during the Academic Subjects; and has completed

the full course prescribed by the University of Karachi.

3. That he/she has (1) attended two tests and done three tutorials (2) has obtained not less that 25% marks in test, and

tutorials (3) and that attendance of the student at tests and tutorials has been added to his/her total attendance.

4. That the applicant’s conduct has been good and judging from the work which he/she has done, there is every

possibility of his/her passing the examination.

A recent photograph of

the candidate should be

P A S T E D

in this space duly attested

by the principal of the

medical college

concerned

CERTIFICATE TO BE SIGNED BY THE PRINCIPAL OF THE COLLEGE

MBBS Fourth Professional Year 20___

Detail of Subjects:

To be filled in by the candidate himself / herself.

Paper I

Paper II

Paper III

Paper IV

For Office Use

The entries in this examination form have been thoroughly checked and found in order. The Admit Card

therefore is being issued to the candidate through the College.

Note:

This form should be filled in by the candidates in their own hand writing and throughly checked by the Principals before it is

forwarded to the University. The entire responsibility of any eventual mishap to the candidate at the Examination Centre on

account of any omissionin the forms shall be on the part of the candidate and the Principal of Medical College.The

University does not under any responsibility to point out omission to the candidates. For any mishap, Controller of

Examination will not be responsible.

take

1. Disabled candidates (if any) are required to arrange the writer and get the permission letter from Examinations

Department 7 days before the commencement of the examination.

2. The application is liable to be rejected, if the entries regarding the subjects offered, exemption claimed and other requisiteparticulars are not stated in this form correctly.

3. The application with the requisite fee must reach the Controller of Examinations, University of Karachi, on or beforenotified date.

4. The Examination form with requisite fee must reach the Controller of Examinations through Principal of the MedicalCollege. Concerned on or before the notified date as per procedure alongwith following supported documents.Attested Photostate copies of C.N.I.C./ Enrolment / Admit Card / Marks Certificate of last Examination taken previously.

IMPORTANT INSTRUCTIONS

Enrolment No.(To be filled in by the candidate)

MBBS FOURTH PROFESSIONALANNUAL / SUPPLEMENTARY EXAMINATION 20___

Papers in which the candidate is appearing

(To be filled in by the Candidate himself/herself)

MBBS FOURTH PROFESSIONALANNUAL / SUPPLEMENTARY EXAMINATION 20___

IDEN

TIF

ICA

TIO

N S

LIP

Date Checker’s Signature Signature of Candidate

Indicate particulars of MBBS Fourth Professional(Annual / Supplementary) Examination if taken previously: Seat No. Year

Full Name(In block letters as entered in the Enrolment Card)

A recent photograph of

the candidate should be

P A S T E D

in this space duly attested

by the principal of the

medical college

concerned

- -

Father’s Name

C.N.I.C. No.

Medical College

(To be filled in by the Candidate himself/herself)

(In block letters as entered in the Enrolment Card)

Papers in which the candidate is appearing

Enrolment No.(To be filled in by the candidate)

Seat No.

(To be filled in by the office)

Form No.

Form No.

IMPORTANT INSTRUCTIONS:

The candidate should preserve this card till such time he/she receives his/her marks certificate/Degree.

Instructions printed on the back of this must be studied by the candidate very carefully.ADMIT CARD

Candidates are hereby directed to complete their Enrolment with the University prior to the

declaration of their results. In case they fail to do so their results will be cancelled.

In case of a walkout there will be no re-examination under any circumstances.

Any type of communication device are not allowed in the Examination Hall.

1.

2.

3.

4.

5.

Signature of Candidate

Controller of Examinations

Full Name

Father’s Name

C.N.I.C. No.

Medical College

(In block letters as entered in the Enrolment Card)

(In block letters as entered in the Enrolment Card)

- -

A recent photograph of

the candidate should be

P A S T E D

in this space duly attested

by the principal of the

medical college

concerned

Seat No.(To be filled in by the office)M

BBS FO

URTH

PR

OFESSIO

NA

L

Pathology

Community Medicine

Eye

E.N.T

Paper I

Paper II

Paper III

Paper IV

M B B S

IV PROFUniversity Of Karachi

ADMIT CARD

University Of Karachi M B B S

IV PROF

www.u

ok.ed

u.pk

PRIN

TED

AT:

B.C

.&T.

PRESS J

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