(FOR OFFICE USE ONLY)

SIR SYED COLLEGE OF MEDICAL SCIENCES

(FOR GIRLS) KARACHI
APPLICATION FOR ADMISSION

Bachelor of Medicine and Bachelor of Surgery (MBBS)

Session 2024-25
Candidate Name: ______________________________________________________________________.
Paste
Father’s Name: _______________________________________________________________________. Photograph
Taken within
Guardian Name: ______________________________________________________________________. Six Week

Mother’s Name: _______________________________________________________________________.

Date of Birth: _____________________________. Nationality: ________________________________. Age: _________________.

Place of Birth: (City/ Country): ______________________________________. Domicile: __________________________________.

Candidate CNIC No. or form "B" Registration No. - -

Father’s CNIC No.: - -

Guardian’s CNIC: - -

Applicant Passport No. (If applicable): ___________________________________________________________________________.

Postal Address: ______________________________________________________________________________________________

__________________________________________________________________________________________________________.

Permanent Address: __________________________________________________________________________________________

__________________________________________________________________________________________________________.

Father’s / Guardian Occupation: _________________________________.

Father’s Monthly Income: _________________________________.

Father’s/Guardian Tel: _______________________________. Designation: _________________________________.

Father’s/Guardian Email: ____________________________________. Father’s/ Guardian Mobile: _________________________.

Father’s/ Guardian Office Address: ____________________________________________________________________________.

Academic Record:
Name of the Year Marks %
Qualifications Board Institute From - To Obtained Obtained

Intermediate
(HSC) / 'A' Levels

Matriculation
(SSC) / ‘O’ Levels

MDCAT Roll/Seat #: ________________ MDCAT (Province): ________________ MDCAT Score: ______Out of _______

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CONTACT INFORMATION:
Candidates Address for Correspondence Father’s/ Guardian’s Business Address:
(Please notify change of address immediately)

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

Business Telephone: _____________________________

Telephone: ___________________________________
Home Telephone: _______________________________
Applicant Mobile: _____________________________
Father/ Guardian’s Mobile: ______________________
Email Address: _______________________________
Parent Email: __________________________________

Candidate Permanent Address as per Father’s/ Guardian’s Permanent Address

CNIC as per CNIC

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

Telephone: ___________________________________ Business Telephone: _____________________________

Applicant Mobile: _____________________________ Home Telephone: _______________________________

Email Address: _______________________________ Father/ Guardian’s Mobile: ______________________

Parent Email: __________________________________

Candidates Postal Address Father’s/ Guardian’s Postal Address

(if different from Correspondence Address) (if different from Correspondence Address)

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

___________________________________________ ___________________________________________

Business Telephone: _____________________________

Telephone: ___________________________________
Home Telephone: _______________________________
Applicant Mobile: _____________________________
Father/ Guardian’s Mobile: ______________________
Email Address: _______________________________
Parent Email: __________________________________

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PARTICULAR OF SIBLINGS:

Name Age Relationship Qualification Profession/School/College

EXTRA-CURRICULAR ACTIVITIES AND OTHER EDUCATIONAL

ACHIEVEMENTS:
________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

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 UNDER-TAKING

1. I declare that information provided by me is correct. I have read and

understood the college Rules and Regulations and Admission Procedure.

2. I agree, If admitted to Sir Syed College of Medical Sciences, to comply with

college regulations.

3. I undertake to abide by the rules & regulations of Sir Syed College of Medical
Sciences

4. I certify that the information on this application is true and complete in all
respects and that I have not withheld any information and I understand that
misrepresentation, falsification of documents, or withholding of requested
information are serious offences which can result in denial of admission or
removal from institution

5. I agree to conform to the rule of the selection process and to accept the
decisions of Sir Syed College of Medical Sciences as final.

6. I am responsible for all of the information provided and the statements I have
made above are true.

7. I further undertake to sign and execute any legal documents if required, for
the purpose of admission.

8. I understand that admission will only be considered final once all fees
have been paid and I have read and understood the Five Year financial
commitment and am able to pay the fees till the completion of my
MBBS Course.
9. I agree that I will deposit the fee for 1st year at the time of admission and
nd
from 2 year onwards in January each year. The fee deposited will not be
refundable in any case if I fail after availing all the chances as per PM&DC /
University rules or I leave the college due to any reason.

___________________ ______________________ _____________________________

Full Name & Full Name &
Date Signature of Candidate Signature of Parent/ Guardian

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INSTRUCTION FOR COMPLETION OF THE APPLICATION FORM
1. The Application Form must be filled in by the Applicant in her own handwriting
in BLOCK LETTERS

2. Incomplete Application form shall not be considered.

3. Original Documents Should not be Attached

4. Attested photocopies of the following MUST be submitted with the application

form

 Copy of SSC (Metric) / O-Levels/ equivalent Mark Sheet

 Copy of SSC (Metric) / O-Levels/ equivalent Certificate
 IBCC Equivalence Certificate for O Levels/Equivalent (if applicable)
 Copy of HSSC (Intermediate) / A Levels/ equivalent Mark Sheet
 Copy of HSSC (Intermediate) / A Levels/ equivalent Certificate
 IBCC Equivalence Certificate for A Levels/Equivalent (if applicable)
 College Provisional / Leaving Certificate
 06 Passport Size Photograph (must be taken in the last six weeks)
 Domicile
 02 copies of Applicants CNIC or B-Form (on A4 size page)
 02 Copies of Father / Guardian CNIC (on A4 size page)
 02 Copy of NMDCAT Result

APPLICATION PROCESSING FEE (NON – REFUNDABLE): Application

processing fee of Rs. 2000/= can be submitted via cash in person or by pay order / bank
draft from any Bank issued in the name of “Sir Syed College of Medical Sciences”.
(NTN # 1452198-9). Please send your completed application form together with the
supporting documents and the non-refundable application processing fee to the address
given below:

Sir Syed College of Medical Sciences (for girls),

St-32, Block 5, Boating Basin, Clifton, Karachi
75600.
Phone #: 021-35835891, 021-35360457