KHYBER MEDICAL UNIVERSITY, PESHAWAR
APPLICATION FORM FOR INTER UNIVERSITY
MIGRATION CERTIFICATE
University Registration No:
Name of University to which migration is sought: ____________________________________
1. Name (In block letters) ___________________________________________________
2. Father’s Name (In block letters) ____________________________________________
3. Address for correspondence _______________________________________________
______________________________________________________________________
Phone No. _____________________________
4. Name of the Highest Examination Availed ___________________________________
Session _____________ Annual/Supply ______________ Roll No. _______________
Result (Passed/Failed) ________________
5. N.I.C NO.________________________________________
6. Name of Institution last attended ________________________________________OR
District from which last examination passed __________________________________
7. Fee remitted Rs. ________ Vide Bank Receipt No. __________ Dated _____________
(Attach Receipt)
Signature of Applicant ___________
FOR OFFICE USE ONLY
Checked by Counter Checked Signed by
S.I.E ACE DCE
INSTRUCTIONS
1. Please fill the particulars in your own handwriting.
2. The office will not be responsible for delay if the form is incomplete.
3. Fee for Migration Certificate is Rs. 1000/-(Public Sector Institutions) /Rs. 2000/- (Private Sector Institutions).
4. Attach Degree or Transcript copy of last examination.
5. Attach one Passport Size Photograph and copy of CNIC.
6. Original CNIC of the applicant along with this slip must be produced at the time of receiving the Migration
Certificate.
ACKNOWLEDGEMENT
Received application form of Mr/Miss/Mrs______________________________________________
S/O, D/O________________________________________ Reg.No ____________________________
Date of issue _________________________________
IMPORTANT NOTE: Dealing Assistant
The applicant must read the instructions Khyber Medical University,
before submitting the form. Peshawar.
