Application Form

LAHORE MEDICAL AND DENTAL COLLEGE

CANAL BANK NORTH, TULSPURA, LAHORE

Tel: 0346-4418891-98, Fax: 37392220, Email:info@lmdc.edu.pk

 

APPLICATION FORM FOR POST GRADUATE RESIDENTS RECRUITMENT IN LM&DC, LAHORE

PERSONAL DATA: –

Application for the post of                                                                                                    

Name of the applicant:                                                                                                           

S/o, D/o, W/o:                                                                                                                        

PMC Reg. No.                                                             Valid up to                                        

Date of Birth:                                       Year of Passing MBBS / BDS:                                 

Domicile:                                                                      Nationality:                                       

Marital Status:                                                                          Religion:                                

National I.D. Card #:

Home Address:                                                                                                                                                           _______________

                                                                                                                                    _____

Ph. (Res.)                                 Mobile                                      E. mail                                 

Permanent address:                                                                                                                

                                                                                                                                                                        _______________

Ph. (Res.)                                 Mobile                                    E. mail                                   

Graduated from:                                                                                                                    

                                             Marks                 Division           Year of Passing               Board                                           Award

Matriculation/Olevels                                                                                                              

F.Sc/Alevels                                                                                                                           

 Professional                     Marks                        Distinction/                 University

  Attempt                                                          Award/College

First (Part-I, II)                                                                                                          

Second                                                                                                                        

Third                                                                                                                          

Fourth                                                                                                                        

Final                                                                                                                            

Total                                                               Division                      %age                         

 

Research / Publications: _____________________________________________________________

                                    _____________________________________________________________

Experience after Graduation / Post graduation: ___________________________________________

REQUIRED DOCUMENTS (ATTESTED COPIES):

  •    CNIC
  •    Photograph
  •    PMDC Registration
  •    Matric
  •    FSc
  •    Domicile
  •    BDS Degree
  •    Detailed Mark Sheets of all BDS years
  •    FCPS PART-I IMM

 

NOTE:

  1. Please bring all your original documents at the time of interview in support of your qualification and experience along with the character certificate and attested photocopies of all documents   attached with the application.
  2. A separate paper can be attached for additional information.
  3. Recruitment will be made as per criteria laid down by the Board of Directors LM&DC, Lahore.
  4. Recommendation of the Head of the Institution last attended.

                                                                                                        Signature of the Applicant