JINNAH SINDH MEDICAL UNIVERSITY
For Admission in M.Phil Session II - 2024

SUBJECT SPECIALITIES - SELECT ONE

M.Phil

Histopathology

Clinical Pathology

& PERSONAL INFORMATION

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	Name of Applicant
	S/O, D/O, W/O
	Date of Birth
	Gender	Male Female Other
	Candidate CNIC
	Religion
	Nationality
	Father / Husband CNIC
	Domicile
	Current Address
	Permanent Address
	Office Address
	Office Contact No
	Home Tel No
	Cell Number
	Emergency Contact No
	Email
	PMC Certificate Number

ACADEMIC QUALIFICATIONS

Degree Name

Name of Institute

Country

Dates Attended

Year Passing

Marks Obtained

Total Marks

CGPA/ Division

From

GAT SCORE (C)

GAT Score :

PROFESSIONAL EXPERIENCE (D)

	Name of Institutions	Positions	Responsibilities	From	To
1
2
3
4
5
	Total Experience:	(Years)	(Months)

ADDITIONAL SKILLS (E)

English Proficiency		Good	Everage	Excellent
Computer Skills	Word	Excel	Power Point	Windows
	Internet	SPSS	STRATA	Any Other:

NOS. OF PUBLICATIONS (F)

	Number of Publications in HEC / PMC Recognized Journals

for assistance (If require) in filling this form, contact on support.admissions@jsmu.edu.ae

Instructions

Dear Candidate:
Please note the following instructions
1.The application will be filled and submitted online and in hardcopy as courier.
2.After filling click on Submit button to generate printable form and voucher.
3. The generated form and voucher will be opened in a print window, which can be downloaded or printed.
4. Attach all required documents, paid fee voucher and printed form to be sent as courier at
Office Admissions, 3rd Floor, Jinnah Sindh Medical University, Karachi-75510. Rafiqui H.J. Shaheed Road, Karachi. Postal Code # 75510
5.Incompletely filled form will not be entertained.