DOCUMENTS TO BE PROVIDED WITH THE DEGREE

APPLICATION FORM

1. Degree Application Form duly attested by the Principal of Respective College.

2. Attested copies of DMCs of all Failed & Passed Profs. / Parts with name spellings as per Matric
Certificate or preceding degree.
3. Attested copies of Diplomas in Nursing & Midwifery and Equivalence Certificate (for B.Sc. Nursing
Degree), migration certificate (in case of studying from university other than NMU) & PNC
registration card copy.
4. Copies of Matric & Inter Certificates or Equivalent duly attested.
5. Copy of MBBS Degree (for Postgraduate Degrees / Diplomas) duly attested.
6. Copy of PMDC / PMC Certificate (for Postgraduate Degrees / Diplomas) duly attested.
7. Copy of Migration / Upgradation Letter (if applicable).
8. Reason of application duly attested by Principal of respective College.
9. Attested copy of Provisional Certificate.
10. A fee of Rs. 5000/- to be paid by Bank Draft or Pay Order in favour of Treasurer NMU, Multan.
11. ID Card Copy duly attested.
12. Three Passport size Photographs duly attested.
13. Applicant’s Name and his / her Father’s name must be written exactly as Matric Certificate or
preceding degree in the application form.
14. A certificate (as per “Annex-A” on back) by signing confirming the correct spelling of name / father’s
name and college. As after the issuance of the degree, no duplicate / fresh degree is issued due to any
difference in spellings.
15. Please Deposit Original DMC’s of all Profs. passed under university other than NMU along with
their verified copies from COE of respective university. The original DMC’s will be returned with
the Degree.
Note:
1. The degree application form will not be received by NMU unless all the above listed correct
documents are provided with the form and all the documents be attached in descending order.
2. For M. Phil Degree: - All the requirements of the thesis have been fulfilled. Please attach attested
copy of result notification of thesis awards.

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 (Annex-A)

CERTIFICATE
Correct Spellings of the Applicant and His / Her Father’s Name Exactly as per Matric Certificate

* In case of postgraduate degree / diploma, name spellings to be written exactly as per preceding degree.

(To be handed over to NMU Degree Cell along with the Degree Application Form)

Name (Capital Letters): - ______________________________________________________________

Father’s Name (Capital Letters): - _______________________________________________________

Institute / College: - __________________________________________________________________

Dated: _____________________ Signature: - ______________________________

Name: - _________________________________

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 NISHTAR MEDICAL UNIVERSITY, MULTAN.
Nishtar Road, Gillani Colony, Multan, Punjab 66000
Phone No. +92-61-9200238, Fax No. +92-61-9200227
e.mail: [email protected]
Application for Degree
(Office Use Only) Diary No.
Note:
 The form shall be submitted to the office of the Degree Cell Department
 Please fill in the form in BLACK INK and clearly print or type only in CAPITAL letters and avoid contact with the edges
of the boxes. A box may be left empty wherever a word ends and a new word begins in the same line or where nothing
further is to be written.
 Avoid any over writing and other mistake while filling in the form. Please make sure the form is filled in as neatly as
possible. If there are too many mistakes in the form fill in the new form. Blanco or fluid isn’t allowed.
 Wherever small choice field boxes are provided in the form, the box adjacent to the appropriate answer is to be ticked
or checked or .

1. Type of Degree MBBS BDS MD/MS MDS M. Phil

(Specify in 11)
MPH Diploma Nursing Paramedic BS / B.Sc

Other Specify ___________________________________________________

Applicant’s Personal Information
Full Name (First, Middle, Last)
2.
Father’s Name (First, Middle, Last)
3.
Date of Birth (DD / MM/ YYYY) Applicant’s CNIC (Provide copy)
4. 5. - -
Name of Institute
6.
Registration Number Session
7. 8.
Final Examination Held in Roll No. (Final Exam)
9. 10.
Type of Degree Subject (If applicable e.g. Postgraduate)
11. 12.
Present Address
13.
Line No. 2

Telephone Number E. Mail / Fax Number

14. 15.
Permanent Address (Mention all relevant information like Post Code, etc.)
16.
Line No. 2

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17. Have you ever been issued the degree? Yes No

18. Amount Rs. Mode of Payment Draft Bank Receipt

19. Draft / Bank Receipt No: _______________________ Date:

NOTE: - Attach original Bank Draft / Bank Receipt with this form.
20. I have attached the attested copies of the following documents with this form (Tick applicable box)
Matric & F.Sc or Equivalent Provisional Certificate DMC’s of all Failed &
Passed Professional / Year

NIC / *Passport Three Attested Photographs Reason of application

*For Foreign Students only

MBBS / BDS Degrees

(Only for the Students of Postgraduate Degrees)

21. DECLARATION:
I hereby solemnly declare and affirm that the information provided and statements made by me in this form
are true and correct to the best of my knowledge and belief and nothing material has been concealed or withheld herein.
I understand that applying for issue the degree without being eligible for it is a crime punishable under the criminal act
of law.

Please affix
Photograph here
without attestation
4X4 cm
with blue background
_________________________________________
Signature of Applicant

Dated: ________________________

22. VERIFICATION BY THE PRINCIPAL

I certify that: (1) all information provided and statements made by the candidate in this form are true and
correct to the best of my knowledge and as per this office record (2) The candidate is eligible for the degree he / she
has applied for (3) * The candidate has passed the subject of Islamiyat & Pakistan Studies.
*Applicable only to MBBS / BDS candidates.

__________________________________
Signature of Principal
Office
Stamp
Dated: ________________________ __________________________________
Full Name

________________________________________________________________________________________________________
Controller of Examination_______________________________________________________________________________
Please deposit original DMC’s of all Profs. passed under University other than NMU along with this application
form. The original DMC’s will be returned with the degree.

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 FOR OFFICE USE ONLY
(Processing by NMU Departments)
FINANCE OFFICE
Certified that a sum of Rs. ____________________ is received from ________________________ vide Bank
Draft / Bank Receipt No. ______________________ as Degree fee for _________________________ Degree

__________________________ __________________________________
Full Name Treasure’s Signature & Stamp
REGISTRATION OFFICE
Particular of the candidate according to Registration Record are:
Academic Session: ____________________________ Registration No. ______________________________
Spelling of Name as per Registration Record: ___________________________________________________
________________________________________________________________________________________

Migrated from ____________________________ College to ________________________

No Migration
College on (date) ________________________________________

__________________________ __________________________________
Full Name Registrar’s Signature & Stamp
TABULATION SECTION
Certified that the candidate has cleared his / her final examination of _______________________________ in
________________________________________________________________________________________
under Roll No. _____________________ and passed vide this office Notification No. ___________________
Dated: __________________.

__________________________ __________________________________
Full Name AC (T) Signature & Stamp
CONTROLLER OF EXAMINATION
Certified that I have verified original Record of the candidate and recommend him / her for issue of Degree.

__________________________ __________________________________
Full Name Controller of Examination Signature & Stamp
DEGREE CELL
Degree bearing Serial No. _______________________ has been delivered on ____________________. The
entry has been made at Serial No. ____________________ on the “Degree Record Ledger”. A photocopy of
the degree has also kept for record.

__________________________ __________________________________
Full Name Incharge Degree Cell Signature & Stamp

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 CHICK LIST
I have attached the attested copies of the following documents with this form along with the fee of Rs. 5,000/- (Tick applicable boxes)
Matric & F.Sc or Equivalent CNIC / * Passport
*For Foreign Students only
DMCs of all Failed & Passed Professionals / Parts
MBBS BDS / BS / B.Sc.’s PGD/PRN/Masters Degrees
First Prof. First Prof. Part-I
Year-Annual Year-Supply Year-Annual Year-Supply Year-Annual Year-Supply

Second Prof. Second Prof.

Year-Annual Year-Supply Year-Annual Year-Supply

Third Prof. Third Prof. Part-II

Year-Annual Year-Supply Year-Annual Year-Supply Year-Annual Year-Supply

Fourth Prof. Final Prof.

Year-Annual Year-Supply Year-Annual Year-Supply

Final Prof.
Year-Annual Year-Supply

Original Verified DMC’s if passed under University other than NMU along with DMC’s.
Provisional Certificate MBBS / BDS Degrees* Result Notification of Thesis
*only for the Students of Postgraduate Degrees Awards for M. Phil
Three Attested Photographs Reason of Application
Note:
 Applicant is required to submit an application addressed to CoE, duly signed by the Principal of respective College in case if there is any gap in
Professionals / Year / Parts. Student will be contacted for any discrepancy found which he / she has to resolve for completion of Degree process.
 If still unresolved, student will be responsible for any delay in provision of degree to him / her.

DECLARATION:
I hereby solemnly declare and affirm that the information provided by me in this form is true and correct to the best of my k nowledge and belief, and no
material has been concealed on withheld herein I understand that applying for issuance of the degree without being eligible for it is a crime punishable under the
criminal act of law.

_______________________________
Signature of Applicant

________________________________
Signature of Degree Processing Officer
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