KHYBER MEDICAL UNIVERSITY PESHAWAR
EXAMINATION ADMISSION FORM
SEMESTER SYSTEM
Spring/ Fall 20______
Program Summer semester 2025
1.Doctor of Physical Therapy (DPT) 2.Master of Physical Therapy (MSPT) Paste photo graph
attested on face side
3.BS Nursing (BSN) 4.B.Sc. Post RN 5.M.Sc. (Nursing)
6. B.Sc. MLT (02 Years) 7. Paramedics (Condense) 8. Paramedics (Condense)
9. BS (P&O) Sciences 10. BS Vision Sciences
11. BS Paramedics “Discipline "
12. Any Other
University Registration No.
Institute Name Examination Center
1. Name (IN BLOCK LETTERS) Gender
2. Father’s Name (IN BLOCK LETTERS
3. N.I.C.No. - -
4. Date of Birth: ___________________ E-mail: _____________________________
5. Permanent address
Phone No
6. Appeared in last time Sem, Examination under Roll No__________ Session ________ (Spring/Fall).
7. Subjects in which to be examined: FULL
1. 2. 3.
4. 5. 6.
7. 8. 9.
7. RE-APPEAR (SEMESTER )
1. 2. 3.
4. 5. 6.
DECLARATION
I hereby solemnly declare that the particulars given above are correct .In case of any wrong information or concealment
of facts I shall be responsible for the consequences. Further, I undertake to abide by the Rules and Regulations of
Examination prescribed by the Khyber Medical University, Peshawar.
Dated_______________ Signature of student _________________
FOR OFFICE USE ONLY
Entries and result checked He/She is Eligible/Ineligible Allowed/Disallowed
and found correct.
Dealing Assistant/Supdt. A.C.E D.C.E
Remarks (if any)
CERTIFICATE
1. I certify that the candidate has fulfilled the conditions laid down in the rules, that he/she is of good moral
character; that he/she has signed this application: and his/her particulars over-leaf are correct.
2. I certify that he/she completed the course of lectures, practical, demonstrations, clinical work etc. as
prescribed in the regulations and he/she fulfill the criteria to appear in the exam.
3. He/She has remitted Rs……….……. (Rupees in ords)…………………………………………………………
…………………………………………………………..……………………………………………………………
Vide NBP Draft/University Receipt No………………………..………..…Dated………………………….…..
as Examination Admission Fee (attached).
Note: - All documents including Bank Draft/Bank receipt to be attached here.
Principal
Signature ______________________
Name of College ________________
Office Seal _____________________
Remarks if any:
INSTRUCTIONS: (TO BE READ CAREFULLY)
1. Examination Admission Form duly completed in all respects should reach the controller of Examinations, Khyber
Medical University Peshawar on or before the last date notified for the purpose failing which late fee will be
charged.
2. Fee once deposited is neither refundable nor adjustable if the candidate is otherwise eligible.
3. Two different Examinations are not allowed in one session of examination.
4. Incomplete forms will not be entertained.
5. All candidates are required to attach three copies of passport size photographs and one copy of National Identity
Card /Domicile Certificate duly attested by the principle concerned.
6. Incomplete /unsigned forms will not be entertained and will be returned at the cost/risk of the candidate.
7. Admission fee remitted through money order/cheque will not be accepted.
8. No student is eligible for a university examination without having attended 75% of the lectures, demonstrations,
tutorials, and practical or clinical work both inpatient and outpatient.
9. Whatever may be the system of marking, for all examinations throughout the Semester System the percentage of
pass marks in each subject will not be less than 60%.
10. No grace marks are allowed in any examination.
Student Signature _________________
KHYBER MEDICAL UNIVERSITY PESHAWAR
Summar semester 2025 Roll No_____________
Annual/Supplementary Examination 20___
SUPERINTINDENT SLIP
(TO BE FILLED IN BY THE STUDENT)
[To be retained by Suptd. & returned to the
Exam. Section after termination of exam] Photograph
University Registration No.
N.I.C.NO. - -
Admit Mr./Mrs./Miss
Son/Daughter of
Of the
College for semester Examination on the dates given in the date sheet to the Centre for
Examination at
Subjects in which to be examined:
1. 2. 3.
4. 5. 6.
7. 8. 9.
RE-APPEAR (SEMESTER )
1. 2. 3.
4. 5. 6.
Deputy Controller of Examinations
Khyber Medical University
Peshawar.
Signature of Candidate
KHYBER MEDICAL UNIVERSITY PESHAWAR
Summar Semester 2025 Roll No_____________
Annual/Supplementary Examination 20___
STUDENT SLIP
(TO BE FILLED IN BY THE STUDENT)
[To be retained by Candidate]
Photograph
University Registration No.
N.I.C.NO. - -
Admit Mr./Mrs./Miss
Son/Daughter of
Of the
College for Semester Examination on the dates given in the date sheet to the Centre for
Examination at
Subjects in which to be examined:
1. 2. 3.
4. 5. 6.
7. 8. 9.
RE-APPEAR (SEMESTER )
1. 2. 3.
4. 5. 6.
Deputy Controller of Examinations
Khyber Medical University
Peshawar.
Signature of Candidate
