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Correction Form KMU

The document is a formal request to the Controller of Examinations at Khyber Medical University for changes or corrections in the applicant's name or father's name. It includes details such as the reason for the request, payment information, and personal identification details. Additionally, it requires an affidavit and signatures from witnesses and an attesting authority.

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325 views1 page

Correction Form KMU

The document is a formal request to the Controller of Examinations at Khyber Medical University for changes or corrections in the applicant's name or father's name. It includes details such as the reason for the request, payment information, and personal identification details. Additionally, it requires an affidavit and signatures from witnesses and an attesting authority.

Uploaded by

afghaniangirl69
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KHYBER MEDICAL UNIVERSITY

PESHAWAR
To
Controller of Examinations
Khyber Medical University
Peshawar
Subject: CHANGE/CORRECTION/ADDITION/DELETION IN NAME/FATHER’S NAME
Sir,
A. I want to get my name/father’s name changed/corrected/added/deleted and as such I request that the
same may kindly be sanctioned. A sum of Rs.__________/- has been remitted vide Bank/University
Receipt No.___________/ Bank Draft No.________________/- Dated_______________.

1. Correction/change/deletion in name wanted from ____________________________________


to ________________________________________________________________
2. Correction/change/deletion in Father’s name wanted from _____________________________
to ________________________________________________________________
3. KMU Registration Number_____________________________________________
4. Phone Number______________________________________________________
5. Roll No.s/Year of all examinations passed from the Board/University.
1) SSC Roll No__________________ Year______________________
2) HSSC Roll No__________________ Year______________________
3) MBBS/BDS
I. Roll No__________________ Year______________________
II. Roll No__________________ Year______________________
III. Roll No__________________ Year______________________
IV. Roll No__________________ Year______________________
V. Roll No__________________ Year______________________

Signature of applicant
Address:___________________________________________________________________
B. Forwarded and recommended for the above correction.

___________________________________________________
Signature and official seal of HoD/Principal of Institute/College

C. Affidavit as per below sample.


I hereby solemnly affirm that I have changed/corrected/added/deleted my/my father’s name
From______________________________________To ___________________________________________

Signature of applicant __________________________

1. Signature and address of witness No.1 ______________________________________________


______________________________________________

2. Signature and address of witness No.1 ______________________________________________


______________________________________________

Signature of 1st Class Magistrate/Oath Commissioner _________________________________________


(Official seal of the attesting authority to be affixed seal must be legible)

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