PM&DC Form 1-A Medical (Full Registration After House Job)(1)

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Transcript of PM&DC Form 1-A Medical (Full Registration After House Job)(1)

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    APPENDIX-3

    Please paste

    one

    Photograph

    ~----

    ~ I Post I Courier

    PM&DC-FORM-IA (MEDICAL)

    Pakistan Medical & Dental ConncilREQUEST FOR FULL REGISTRATION ONTHE REGISTER OF MEDICAL PRACTITIONERS

    AFTER FOUNDATION YEAR (HOUSE JOB)

    TEL: 051-9106151-54 Fax No.051-9106159

    Website www.pmdc.org.pk E-mail: [email protected] forms can be downloaded lrom our website by using Acrobat Reader. Photocopy of this fonn is also acceptable

    PMDC Re istration No

    The Registrar

    Pakistan Medical & Dental Council

    G-J 0-14, Mauve Area, Islamabad.

    Sir,tDr. . Slo, DID _

    "",having postal address ._. perrnanent .address

    be returned 10 you

    Yes! No I

    have successfully completed one-year compulsory foundation year (house job) arreT the issue of Provisional Registration by the PM&~ as per requirement

    o f t he P M& DC f rom a PM &D C a pp ro ve d h os pi ta l fOT conversion of provisional Registration into full registration and have qualified the

    University/authorized Examination at the end of this structured training. It is requested that my name may be retained in part A of the medical regisrer and a

    registration certificate to this effect may kindly be issued to me.

    (If the following documents are not attcsted and attached with this application then it shall not be proccssed' an'd shall

    unactioned in original).

    Check List:

    (vi)

    (i)

    (ii)

    (iii)

    (iv)

    (v)

    (vii)

    (viii)

    (ix)

    (x)

    (xi)

    (xii)

    (xiii)

    (xiv)

    Original PM&DC Provisional Registration Certificate"

    A copy of MBBS degree attested by the Principal.

    A copy of (one-year) house job certificates aUested by the M.S. of the PM&DC approved hospital where house job was done.

    InstitutionlUniversity assessment result after completion of the Structured House Job.

    Three recent photographs (2 Passport size and one Identity Card size) one attested on front side and then pasted on the fonn

    and others on the back (attested by the M.S. of the PM&DC approved hospital where house job was done) with white

    background and both ears visible.

    Required fee

    (Note: Without the above documents and atte,.

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    PMDC FPRM-IA (Medical)

    PAKISTAN MEDICAL & DENTAL COUNCIL

    MAUVE AREA G-IO/4 ISLAMABAD.TEL: 051-9106151-54 Fax NO.051-9106159

    Website: www.pmdc.org.pk E-mail: [email protected]

    (Please read these important INSTRUCTIONS carefully and visit our web site (www.pmdc.org.pk )

    GENERAL INSTRUCTIONS

    1. If the required