Scribd Logo
Upload

Welcome to Scribd!

  • 27 views

    Degree Application Form

    Uploaded by

    Nafees Khan

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Degree Application Form

    Uploaded by

    Nafees Khan
    27 views4 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    27 views4 pages

    Degree Application Form

    Uploaded by

    Nafees Khan

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    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
    INSTRUCTIONS FOR THE STUDENTS

    A. For Original Degree (Requirements)


    i. Form must be signed and duly stamped from the concerned Principal/Head of Institution.
    ii. Copy of DMC/Transcript of the last passed Examination.
    iii. Copy of CNIC.
    iv. Passport size Colored Photograph.
    v. Original Bank Receipt (Fee receipt can be downloaded /printed from KMU website
    www.kmu.edu.pk and submit it any MCB branch).
    vi. Account No. 0977029551007356

    B. For Duplicate Degree (Requirements)


    i. Copy of Original Degree (if available).
    ii. Copy of DMC/Transcript of the last passed Examination.
    iii. Cutting of any national newspaper (in original) to show the where the missing report of
    the degree/document is published.
    iv. Roznamcha/Missing Report (in original) from the concerned police station.
    v. Copy of CNIC.
    vi. Affidavit (in original) mentioning the details of the missing degree/documents.
    vii. Original Bank Receipt (Fee receipt can be downloaded /printed from KMU website
    www.kmu.edu.pk and submit it any MCB branch).
    vii. Account No. 0977029551007356
     This office will not be held responsible for delay in preparation of degree beyond the
    stipulated period of time due to unavoidable circumstances.
     The applicant must submit the prescribed form, completed in all respect, in official timing
    to the degree section KMU.
     In case of short coming /correction in particulars the date of application form shall be
    counted from when the objection is rectified.
     The applicant must produce his/her original CNIC at the time of collection of degree.

    Fee Schedule
    Category Issuance Period Original Degree Duplicate Degree Urgent Degree
    Degree Fee 25 working days Rs. 3500/- Rs. 3500/- 5000/-
    Verification Fee 7 working days Rs. 1000/- Rs. 1000/- 1000/-
    Khyber Medical University Khyber Medical University Khyber Medical University Khyber Medical University
    Affiliated Inst/Colleges Fee Slip MCB Affiliated Inst/Colleges Fee Slip MCB Affiliated Inst/Colleges Fee Slip MCB Affiliated Inst/Colleges Fee Slip MCB
    Bank Limited Bank Limited Bank Limited Bank Limited

    Account No Account No Account No Account No


    0977029551007356 0977029551007356 0977029551007356 0977029551007356
    (Bank Copy) (Treasury Copy) (Institute/Student (KMU Copy)
    Date Copy)
    Date Date
    Date
    INSTITUTIONAL DEPOSITS INSTITUTIONAL DEPOSITS INSTITUTIONAL DEPOSITS INSTITUTIONAL DEPOSITS
    Inst/ College Name Inst/ College Name Inst/ College Name Inst/ College Name

    Purpose of Deposit Purpose of Deposit Purpose of Deposit Purpose of Deposit

    Semester/Year Semester/Year Semester/Year Semester/Year

    No. of Students Rate No. of Students Rate No. of Students Rate No. of Students Rate
    Contact No. Contact No. Contact No. Contact No.
    Cheque/Draft# Cheque/Draft# Cheque/Draft# Cheque/Draft#

    STUDENT’S/INDIVIDUAL DEPOSITS STUDENT’S/INDIVIDUAL DEPOSITS STUDENT’S/INDIVIDUAL DEPOSITS STUDENT’S/INDIVIDUAL DEPOSITS


    Name Name Name Name
    Father's Name Father's Name Father's Name Father's Name
    Institute Institute Institute Institute
    Registration No. Registration No. Registration No. Registration No.
    Purpose of Deposit Purpose of Deposit Purpose of Deposit Purpose of Deposit
    Semester/ Year Semester/ Year Semester/ Year Semester/ Year
    Contact No. Contact No. Contact No. Contact No.

    Amount Payable Rs.


    Amount Payable Rs. Amount Payable Rs. Amount Payable Rs.

    In Words Rupees In Words Rupees In Words Rupees In Words Rupees

    Due Date
    Due Date Due Date Due Date
    Bank Authorized Signature with Stamp
    Bank Authorized Signature with Stamp Bank Authorized Signature with Stamp Bank Authorized Signature with Stamp
    Note:
    1. Can be deposited free online in any branch of Note: Note: Note:
    MCB. 1. Can be deposited free online in any branch of 1. Can be deposited free online in any branch of 1. Can be deposited free online in any branch
    2. All columns must be filled with legible MCB. MCB. of MCB.
    handwriting. 2. All columns must be filled with legible 2. All columns must be filled with legible 2. All columns must be filled with
    3. All columns are mandatory. handwriting. handwriting. legible handwriting.
    3. All columns are mandatory. 3. All columns are mandatory. 3. All columns are mandatory

    You might also like