DOCUMENTS TO BE PROVIDED WITH THE DEGREE
APPLICATION FORM
1. Degree Application Form duly attested by the Principal of Respective College
2. Attested copies of DMCs of all Failed & Passed Profs./Parts with name spellings as per
Matric Certificate or preceding degree.
3. Attested copies of Diplomas in Nursing & Midwifery and Equivalence Certificate (for B.Sc.
Nursing Degree), migration certificate (in case of studying from university other than UHS) &
PNC registration card copy
4. Copies of Matric & Inter Certificates or Equivalent duly attested
5. Copy of MBBS Degree (for Postgraduate Degrees/Diplomas) duly attested
6. Copy of PMDC Certificate (for Postgraduate Degrees/Diplomas) duly attested
7. Copy of Migration/Upgradation Letter (if applicable)
8. Reason of application duly attested by Principal of respective College.
9. Attested copy of Provisional Certificate.
10. A fee of Rs.5000/- to be paid by Bank Draft or Pay Order in favour of Treasurer UHS Lahore
or UHS Bank Challan Form available at NBP Branch, Sheikh Zayed Hospital, Lahore.
11. ID Card Copy duly attested
12. Three Passport size Photographs duly attested
13. Applicant’s Name and his/her Father’s name must be written exactly as per Matric Certificate
or preceding degree in the application form.
14. A certificate (as per “Anx-A” on back) by signing confirming the correct spelling of
name/father’s name and college. As after the issuance of the degree, no duplicate/fresh
degree is issued due to any difference in spellings.
15. Please Deposit Original DMC’s of all Profs. passed under university other than UHS
alongwith their verified copies from COE of respective university. The original DMC’s will be
returned with the Degree.
Note:
1. The degree application form will not be received by UHS unless all the above listed
correct documents are provided with the form. And all the documents be attached in
descending order.
2. For M. Phil Degree:- All the requirements of the thesis have been fulfilled. Please
attach attested copy of result notification of thesis awards.
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(Annex-A)
CERTIFICATE
Correct Spellings of the Applicant and His/Her Father’s Name Exactly as per
Matric Certificate
* In case of postgraduate degree/diploma, name spellings to be written exactly as per preceding degree.
(To be handed over to UHS Degree Cell alongwith the Degree Application Form)
Name (Capital Letters): - : ___________________________________
Father’s Name (Capital Letters): - : ___________________________________
Institute/College: - : ___________________________________
Dated: _____________ Signature: -______________________
Name: - _________________________
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UNIVERSITY OF HEALTH SCIENCES LAHORE
KHAYABAN-E-JAMIA PUNJAB LAHORE
Ph: No. (Off) 042-9231304-9 Fax No. 042-9230870
Application for Degree
(Office Use Only) Diary No.
Note:
The form shall be submitted to the office of the Degree Cell Department
Please fill in the form in black ink and clearly print or type only in CAPITAL letters and avoid contact with the
edges of the boxes. A box may be left empty wherever a word ends and a new words begins in the same line
or where nothing further is to be written
Avoid any over writing and other mistake while filling in the form. Please make sure the form is filled in as
neatly as possible. If there are too many mistakes in the form fill in the new form. Blanco or fluid isn’t allowed.
Wherever small choice field boxes are provided in the form, the box adjacent to the appropriate answer is
to be ticked or checked. Or
11.. Type of Degree MBBS BDS MD/MS MDS M. Phil
(Specify in 11)
MPH Diploma Nursing Paramedic Other (Specify)
Applicant’s Personal Information
Full Name (First, Middle, Last)
2.
Father’s Name (First, Middle, Last)
3.
Date of Birth (DD/MM/YYYY) Applicant’s NIC (Provide copy)
4. 5.
Name of Institute
6.
Registration Number Session
7. U H S 8.
Final Examination Held in Roll No. (final Exam)
9. 10.
Type of Degree Subject (If applicable e.g. postgraduate
11. 12.
Present Address
13.
Line No. 2
Telephone No. E-mail/Fax #
14.
Permanent Address (mention all relevant information like Post Code, etc.
15.
Line No. 2
3
16. Have you ever been issued the degree? Yes No
17. Amount Rs. Mode of Payment Draft Bank Receipt
18. Draft/Bank Receipt No: _________________ Date:
NOTE: Attach original Bank Draft/ Bank Receipt with this form
19. I have attached the attested copies of the following documents with this form (Tick applicable box)
Matric & F.Sc or Equivalent Provisional Certificate DMC’s of all Failed & Passed
Professionals/Years
NIC/*Passport Three Attested Photographs Reason of application
*For Foreign Students only
MBBS/BDS Degrees
(only for the Students of Postgraduate Degrees)
20. DECLARATION:
I hereby solemnly declare and affirm that the information provided and statements made by me in this form are true
and correct to the best of my knowledge and belief, and nothing material has been concealed or withheld herein. I understand
that applying for issue the degree without being eligible for it, is a crime punishable under the criminal act of law.
Please affix
Photograph here
without attestation
4x4 cm
with blue background
Signature of Applicant
Dated:
VERIFICATION BY THE PRINCIPAL
21.
I certify that: (1) all information provided and statements made by the candidate in this form are true and
correct to the best of my knowledge and as per this office record (2) The candidate is eligible for the degree
he/she has applied for. (3.) *The candidate has passed the subject of Islamiat & Pakistan Studies.
*applicable only to MBBS/BDS candidates.
Office
Signature of Principal
Stamp
Dated:
Full Name
Controller of Examination
Please deposit original DMC’s of all Profs. passed under University other than UHS along
with this application form. The original DMC’s will be returned with the Degree
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For Office Use Only
(Processing by UHS Departments)
Finance Office Dated: ____________
Certified that a sum of Rs. _____________ is received from _________________ vide Bank
Draft/Bank Receipt No. _____________ as Degree fee for ___________ Degree
Full Name Treasure’s Signature & Stamp
Registration Office Dated: ____________
Particular of the candidate according to Registration Record are:
Academic Session: ________________ Registration No. _______________________________
Spelling of Name as per Registration Record: _____________________________________________
___________________________________________________________________________ ___________
Migrated from _________________ College to _________________ College No Migration
on (date) _______________________
Full Name Registrar’s Signature & Stamp
Tabulation Section Dated: ____________
Certified that the candidate has cleared his/her final examination of ________________ in
________________________________________________________________________________
Under Roll No. ____________ and passed vide this office Notification No. _____________
Dated: _________________
Full Name AC (T) Signature & Stamp
Controller of Examination Dated: ____________
Certified that I have verified original Record of the candidate and recommend him/her for issue
of Degree
Full Name CoE Signature & Stamp
Degree Cell Dated: ____________
Degree bearing serial no. ____________________ has been delivered on____________. The entry
has been made at serial no. __________ on the “Degree Record Ledger”. A photocopy of the degree
has also been kept for record.
Full Name Incharge Degree Cell Signature & Stamp
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CHECK LIST
I have attached the attested copies of the following documents with this form alongwith the fee of Rs.5,000/- (Tick applicable boxes)
Matric & F.Sc or Equivalent CNIC/*Passport
*For Foreign Students only
DMCs of all Failed & Passed Professionals/Parts
MBBS BDS/B.Sc.’s PGD/Masters Degrees
First Prof. Part I First Prof. Part 1
Year-Annual Year-Supply Year-Annual Year-Supply Year-Annual Year-Supply
First Prof. Part II Second Prof.
Year-Annual Year-Supply Year-Annual Year-Supply
Second Prof. Third Prof. Part II
Year-Annual Year-Supply Year-Annual Year-Supply Year-Annual Year-Supply
Third Prof. Final Prof.
Year-Annual Year-Supply Year-Annual Year-Supply
Final Prof.
Year-Annual Year-Supply
Original Verified DMCs if passed under University other than UHS alongwith Original DMCs
Provisional Certificate MBBS/BDS Degrees* Result Notification of Thesis Awards for M.Phil
*only for the Students of Postgraduate Degrees
Three Attested Photographs Reason of Application
Note:
Applicant is required to submit an application addressed to CoE, duly signed by the Principal of respective College in case if there is any gap in Professionals/Years/Parts.
Student will be contacted for any discrepancy found which he/she has to resolve for completion of Degree process.
If still unresolved, student will be responsible for any delay in provision of degree to him/her.
DECLARATION:
I hereby solemnly declare and affirm that the information provided by me in this form is true and correct to the best of my knowledge and belief, and no material has been concealed or
withheld herein. I understand that applying for issuance of the degree without being eligible for it, is a crime punishable under the criminal act of law.
_______________________________________
Signature of Applicant
_______________________________________
Signature of Degree Processing Officer
