Form No: UNIVERSITY OF MALAKAND {Chakdara, Dir (Lower) Khyber Pekhtunkhwa, Pakistan) | _Atach io passpar size ADMISSION FORM altsted photos (For Post Graduates Students Only) Tick your option: [sy m.Ph pro| || Semester | spring, | Fant] |[vear 20 __ For Office Use Onl Department: Seen (For Under Graduates Students Only) No, Department ‘Open-Merit | Female | Hafize-auran | Disabled FATA 1 Z 3. 1. PERSONAL, Name weioces) Day [Month ear ale Female Date OF Birth Candidates CWC Fathers Name ; 3 Domicile Fathers CNIC Nationality nee 2 ; reese Re ‘Oitee Fail 2. ADDRESSES Postal Address: Permanent Address: 3, ACADEMIC QUALIFICATION ‘Qualification ‘Board / University Year | Rollo | Marks Obtained | Total Marks | ‘kage Metie/ 656 HSSC inter BAIBSe Bs 4 MATMSe vm MBBS MS [MPhil Any Other 4, EMPLOYMENT RECORD WAERSTYZ,, | rostaei | oesiwanow | "TRO | ers [raat Pe ‘Acknowledgement Applicants Name. nivery of Matakana fr Dated Dealing Assistant To:192-945-764195 Web: http:wwuiom.edu pk ters Name ‘Appleaion submited for admission toINSTRUCTIONS The following documents must he attached with this application f a Attested coples ofall Cerifcates & Degrees i. character Certieate ‘© NOC! study leave incase of employees where applicable ‘Undertaking (complete in all respects tobe obtained from department concemed) ‘Migration Certicate {. Two Passport Size Photographs (attested) 2. Fill de admission formcaretully otherwise the Admission Committee, University of Malakand reserves the right not to entertain any claimmade later on by the applicant. 3. Properly sigi the adaesion form on both ses in the spaces provided. 4 Photocopy ofthe adinission form shall notbe accepted. 5. Applicants having Set Division or less than 45% marks in qualifying exam are not eligible for adinission. 6.Students applying against the reserved seats of Hafiz-« Quran or Disabled imast attach relevant document, showang eligibility ofthe applicant against the seat for which he / she is applying. 7. The allocation of seats in each department is as under (except MS /M.Phil/ Ph.D): Open-Merit | a1) Female | 97) Hafiz-e-Quran | 1 Disabled or] FATA | o1 ' As an applicant for admission to the University of Malakand, you hereby wndertake thatthe entries made ints admission formare cornet and complete to the best of your knowledge and that your adsnission to. the university ss provisional and 8 subject to cancellation sf any anegulamty 16 ford in vont ‘Nimincon forin/ document Youalbo undertake that you shall abide bythe res and egulation ofthe UniversityofMalakand. svn the following ores: Date: Jo Applicant's Signature For Office Use Only ‘The applicant Mr /Ms. / Mrs, thas deposited Re: in NBP UOM Branch Vide Bank Receipt/ DD N Dated: ‘on account of admission foe to BS/Pharm-DIMA/MSe/LLB/B, EAIM.EAMS / MPhil / MS / M.Phil leading fo PhO / PhO programat the Department of, University of Malakand. RECOMMENDATIONS Recommendations and Signatures of Members of Admission Committee! Graduate Studios Committee » FR Signature of Chaitman/ HOD | Signature of Director Admissions 3) 4)