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Degree Form

This document is an application form for the award of a degree from Khyber Medical University, Peshawar. It requires personal information, examination details, and confirmation of fee payment, along with a recent photograph. The form must be submitted with the original CNIC and includes an acknowledgment section for office use.

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nanog800
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31 views1 page

Degree Form

This document is an application form for the award of a degree from Khyber Medical University, Peshawar. It requires personal information, examination details, and confirmation of fee payment, along with a recent photograph. The form must be submitted with the original CNIC and includes an acknowledgment section for office use.

Uploaded by

nanog800
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KHYBER MEDICAL UNIVERSITY, PESHAWAR

Application Form for Award of Degree


Paste Recent
Coloured
University Registration No: Photograph

Title of Degree:

1. Name (In block letters)…………………………...………………………………………………………………………


2. Father’s Name (In block letters)…………………………..………………………………………………….……..
3. Name of Examination passed ……………..…...………… Roll No. ……………………………………..…….
Year/Session……………………….……. Annual/Supply………………………………………….………….……..
4. Institution attended: ……………………………………………………………………………………………….…... .

5. Permanent address: …..……………………………………………………………………….………..…..........…..


……………………………………………………………………………Phone No………………………………..…….. . .
6. C. N.I.C.NO ………………………………………………………………..

I have completed all the requirements for award of degree and have deposited Rs………...……. in
………………………..………..…….vide Bank Receipt No………….dated……………………..
(Attached original Bank Receipt)

(Head of Institute/Principal/Vice Principal)


Signature_______________________
________________________
Name__________________________ Signature of the Candidate

Office Seal______________________

Entries Checked by FOR OFFICE USE ONLY

S.I.E ACE DCE

Controller of Examinations
ACKNOWLEDGEMENT
Received the degree application form of Mr/Miss…………………………..………………………………………….
S/D/O…………………………………….….………………Reg.No………………………………………….……………..…..…….
Session……………… .Annual/Supply Roll No…………….……… Fee deposited Rs. ……….….…… in ……….
vide Bank Receipt No ……………..…Dated …………..……………………

Note: The applicant must produce his/her original CNIC at the time of collection of degree.

IMPORTANT NOTE:
The applicant must read the instructions on
the reverse of the application form carefully
Section Incharge
before submitting the form in the office.
(Degree & Registration)
Examination Department

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