APPLICATION FORM FOR OBTAINING A CERTIFICATE FROM M/O NATIONAL REGULATIONS & SERVICES, ISLAMABAD FOR DOCTORS DESIRING TO PROCEED ABROAD FOR POST GRADUATION STUDIES / TRAINING.
Name of applicant :
Father’s Name :
Domicile :
Date of Birth :
Education / Qualification :
CNIC No. :
Correct E.mail Address (valid) :
Where and when the house job was done and in which subject. :
Marital status :
Name of College from which the Degree of MBBS was received and the year (copy) PMDC Certificate (copy) :
Description of posts held after completion of House Job :
Presently serving in :
Are you serving government employee :
Description of required training abroad. :
Whether training facilities are available in Pakistan in the required field. :
Whether admission received from the Institution abroad (copy) :
The name of educational institution abroad where the applicant wishes to study. :
Duration of Postgraduate course with the date of its commencement :
Undertaken that after the training abroad shall return to Pakistan and serve (affidavit) :
2. Copies of all attached documents are attested / verified by Notary Public.
3. The above mentioned information / documents are correct / true and nothing has been concealed there-from.
Date:___________
Page overleaf
SUPPORTING DOCUMENTS FOR LETTER OF NEED TO DOCTORS
Application form.
Letter of contract.
MBBS Degree duly verified by issuing institute / Higher Education Commission (HEC)
Valid PMDC registration duly verified by PMDC
Valid copy of CNIC.
Valid Copy of Passport
Fresh Affidavit of Rs.20/-(Specimen given below).
(If documents are submitted by any other person, authority letter from the concerned person to receive the same must be provided).
SPECIMEN AFFIDAVIT
I, ____________________________S/O,D/O__________________________ Resident of ____________________________________________________________________, do hereby solemnly affirm and declare as under:
This affidavit for obtaining the NOC for ___________________________S/ O,D/O _______________________from Ministry of National Regulations and Services, Islamabad.
That I am the citizen of Pakistan by birth and applying the above NOC for training in _________in ________________________________________.
That I have passed MBBS from _____________________________________ in the year_________ and a Registered Medical Practitioner by PMDC.
That I intend to undergo residency training ______________________ for _______ years and will return back to my country to serve medical community here.
That my above statement is true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Place:_______
Date: ______
Deponent_____________
CNIC No.____________
Name of applicant :
Father’s Name :
Domicile :
Date of Birth :
Education / Qualification :
CNIC No. :
Correct E.mail Address (valid) :
Where and when the house job was done and in which subject. :
Marital status :
Name of College from which the Degree of MBBS was received and the year (copy) PMDC Certificate (copy) :
Description of posts held after completion of House Job :
Presently serving in :
Are you serving government employee :
Description of required training abroad. :
Whether training facilities are available in Pakistan in the required field. :
Whether admission received from the Institution abroad (copy) :
The name of educational institution abroad where the applicant wishes to study. :
Duration of Postgraduate course with the date of its commencement :
Undertaken that after the training abroad shall return to Pakistan and serve (affidavit) :
2. Copies of all attached documents are attested / verified by Notary Public.
3. The above mentioned information / documents are correct / true and nothing has been concealed there-from.
Date:___________
Signature_______________________
Address: _______________________
_______________________
Contact:-_______________________
Page overleaf
SUPPORTING DOCUMENTS FOR LETTER OF NEED TO DOCTORS
Application form.
Letter of contract.
MBBS Degree duly verified by issuing institute / Higher Education Commission (HEC)
Valid PMDC registration duly verified by PMDC
Valid copy of CNIC.
Valid Copy of Passport
Fresh Affidavit of Rs.20/-(Specimen given below).
(If documents are submitted by any other person, authority letter from the concerned person to receive the same must be provided).
SPECIMEN AFFIDAVIT
I, ____________________________S/O,D/O__________________________ Resident of ____________________________________________________________________, do hereby solemnly affirm and declare as under:
This affidavit for obtaining the NOC for ___________________________S/ O,D/O _______________________from Ministry of National Regulations and Services, Islamabad.
That I am the citizen of Pakistan by birth and applying the above NOC for training in _________in ________________________________________.
That I have passed MBBS from _____________________________________ in the year_________ and a Registered Medical Practitioner by PMDC.
That I intend to undergo residency training ______________________ for _______ years and will return back to my country to serve medical community here.
That my above statement is true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Place:_______
Date: ______
Deponent_____________
CNIC No.____________
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Document Attestation