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    Application Processing Fee-Recipt: Receipt of Payment To Be Attached

    Uploaded by

    Haseeb Ahmed
    This document is a residency application form for Maria Nisar to apply for the radiology residency program at Shifa International Hospitals Ltd. It includes her personal details like name, date of birth, address, contact information, education history from medical college to internship. It lists the required documents for application like attested copies of degrees and certificates and a passport photo. It notes that the non-refundable application processing fee of Rs. 4000 has been paid with receipt number 10140.

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    Download as PDF, TXT or read online from Scribd

    Application Processing Fee-Recipt: Receipt of Payment To Be Attached

    Uploaded by

    Haseeb Ahmed
    42 views3 pages
    This document is a residency application form for Maria Nisar to apply for the radiology residency program at Shifa International Hospitals Ltd. It includes her personal details like name, date of birth, address, contact information, education history from medical college to internship. It lists the required documents for application like attested copies of degrees and certificates and a passport photo. It notes that the non-refundable application processing fee of Rs. 4000 has been paid with receipt number 10140.

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    This document is a residency application form for Maria Nisar to apply for the radiology residency program at Shifa International Hospitals Ltd. It includes her personal details like name, date of birth, address, contact information, education history from medical college to internship. It lists the required documents for application like attested copies of degrees and certificates and a passport photo. It notes that the non-refundable application processing fee of Rs. 4000 has been paid with receipt number 10140.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    42 views3 pages

    Application Processing Fee-Recipt: Receipt of Payment To Be Attached

    Uploaded by

    Haseeb Ahmed
    This document is a residency application form for Maria Nisar to apply for the radiology residency program at Shifa International Hospitals Ltd. It includes her personal details like name, date of birth, address, contact information, education history from medical college to internship. It lists the required documents for application like attested copies of degrees and certificates and a passport photo. It notes that the non-refundable application processing fee of Rs. 4000 has been paid with receipt number 10140.

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    APPLICATION PROCESSING FEE-RECIPT

    Office Copy

    For The Credit of:


    Shifa International Hospitals Ltd, Islamabad.

    Account No of MCB Main Civic Center, Melody Islamabad : 0061303010000351

    OR

    Account No of Albaraka Shifa International Ltd Branch : 0110326530019

    OR

    Online Payment OR Bank Draft OR Pay Order in Favor of Shifa International Hospital Ltd

    Date: 19-11-2020 Registration # :      -       (For Official Use Only)

    Applicant Name Tracking ID

    Maria Nisar 19074-Radiology (Residency)

    Application Processing Fee : 4000

    Regular Or Late : Regular

    In words : FOUR THOUSAND RUPEES ONLY

    Applicant's Signature PGME Admission Office Signature


     
    Note:

    Receipt of payment to be attached.

    Applicant Copy

    Date: 19-11-2020 Registration # :      -       (For Official Use Only)

    Applicant Name Tracking ID

    Maria Nisar 19074-Radiology (Residency)

    Application Processing Fee : 4000

    Regular Or Late : Regular

    In words : FOUR THOUSAND RUPEES ONLY

    PGME Admission Office Signature


    Note:

    The processing fee is non-refundable.


    Residency Application Form

    Date of Application :  19-11-2020 Registration Fees :  RS. 4000/-

    Tracking # :  19074 Receipt # :  10140

    Registration # :      -       (For Official Use Only)

    Please ensure to include the following items:

    Completed application form endorsed by relevant authority.

    Attested copies of mark sheets of all professional examinations.

    Attested copy of MBBS Degree.

    Attested copy of one year internship/house job certificate.

    Attested copy of valid PMDC registration.

    Attested copy of FCPS Part I Certificate

    One passport size photograph: taken one week prior to submission of this application

    Declaration (Download)

    Radiology: Evaluation Proforma need to be filled (Download)

    -----------------------------------------------------------------------------------------------------------------------------

    Speciality :  RADIOLOGY Name (as per CNIC) : MARIA NISAR

    Father/Spouse Name : NISAR AHMAD Gender: FEMALE Date of Birth : 04-03-1994

    Nationality: PAKISTAN Passport/CNIC: JH9825231 /17301-20075232

    Mailing Address: HOUSE 246 PLOT 119 DEFENCE OFFICERS COLONY NEW SHAMI ROAD PESHAWAR

    Email : [email protected] Cell # : 03139943682 Fax # : 

    Permanent Address: HOUSE 246 PLOT 119 DEFENCE OFFICERS COLONY NEW SHAMI ROAD PESHAWAR   Home/Office Tel #: 0915255193

    Name Of Medical College Attended: KHYBER GIRLS MEDICAL COLLEGE

    Medical College Graduation (Month/Year) :  MAY/2017

    House Job Institution Name: LADY READING HOSPITAL PESHAWAR    Year of house job completion : 2018

    Other Experience: WORKED AS VOLUNTEER AT SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL AND RESEARCH CENTRE ,2017 WORKED AS
    AMBASSADOR AT SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL AND RESEARCH CENTRE ,2018

    Is your application complete? YES

    -----------------------------------------------------------------------------------------------------------------------------
    Note:

    The application form should be attested by any consultant or Assistant Professor and above of any medical college OR any government official
    grade 18 and above.
    Incomplete application form will not be processed.

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