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Bachelor of Eastern Medicine and Surgery
Admission Form
Student Information
Name
CNIC Number
Date of Birth
Contact No.
Email
Martial Status
Married
Unmarried
Disability (if any)
Religion
Passport Size Image
Program
Father/Guardian Information
Father/Guardian Name
Father/Guardian Occupation
Father/Guardian CNIC
Father/Guardian Contact No.
Address
Matriculation:
School
Subjects
Year of completion
Board
Roll No.
Grade/Percentage
Obtained Marks
Total Marks
Result Card Image
Intermediate:
Institution
Subjects
Year of completion
Board
Roll No.
Grade/Percentage
Obtained Marks
Total Marks
Result Card Image
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