[go: up one dir, main page]
Scribd
Upload
11 views2 pages

Online Application PDF

Hafsa Sarwar is applying for an elective rotation in Neuro Surgery at Lady Reading Hospital, Peshawar, from June 1, 2025, to July 31, 2025, as part of her FCPS-II training in Dentistry. The application requires signatures from both her main and rotational supervisors, as well as the head of the parent and rotational institutes. The application must be submitted in the first week of the rotational training commencement.

Uploaded by

Aimal Khan
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
11 views2 pages

Online Application PDF

Hafsa Sarwar is applying for an elective rotation in Neuro Surgery at Lady Reading Hospital, Peshawar, from June 1, 2025, to July 31, 2025, as part of her FCPS-II training in Dentistry. The application requires signatures from both her main and rotational supervisors, as well as the head of the parent and rotational institutes. The application must be submitted in the first week of the rotational training commencement.

Uploaded by

Aimal Khan
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
You are on page 1/ 2

College of Physicians & Surgeons Pakistan Form No: 2025-119446

7th Central Street, Defence Housing Authority Phase-II, Karachi -75500, Pakistan
Tel: 99207100-09 , Fax: 99207120, 35881444, UAN: 111-606-606 Application Date: 29-05-2025
Website: www.cpsp.edu.pk

Elective Rotation Form (FCPS-II Training)

Full Name: HAFSA SARWAR


Father's Name: HAJI SARWAR JAN
Nationality: Pakistan
NIC No: 11201-0498999-8
Date of Birth: 01-03-1997
Gender/Marital Status: Female / Married
CPSPID: 2022-153 RTMC No: DSG-2022-022-3965

Registration Information
Speciality: DENTISTRY (ORAL AND MAXILLO-FACIAL SURGERY)
Country/State/City: Pakistan, Khyber Pakhtunkhwa, Peshawar
Institute: LADY READING HOSPITAL / MEDICAL TEACHING INSTITUTE
Supervisor: TAHIRULLAH KHAN
Training Joining: 01-01-2022

Mailing Address (Residential Only)


Address: PHASE 1 SECTOR E-3 STREET 6 HOUSE NUM 83 HAYATABAD PESHAWAR
Country/State/City: Peshawar, Khyber Pakhtunkhwa, Pakistan
Tel (Res.): 03359444567 Tel (Office): 0345-5894874
Cell: 03359444567 Postal Code: 25000

Rotational Information
Rotational Speciality: NEURO SURGERY
Country/State/City: Pakistan, Khyber Pakhtunkhwa, Peshawar
Rotational Institute: LADY READING HOSPITAL / MEDICAL TEACHING INSTITUTE
Rotational Supervisor: ZIA-UR-REHMAN
Date From: 01-06-2025 Date To: 31-07-2025

Note:

It is mandatory that application must be submitted in the first week of commencement of rotational training.

page 1 / 2
College of Physicians & Surgeons Pakistan Form No: 2025-119446
7th Central Street, Defence Housing Authority Phase-II, Karachi -75500, Pakistan
Tel: 99207100-09 , Fax: 99207120, 35881444, UAN: 111-606-606 Application Date: 29-05-2025
Website: www.cpsp.edu.pk

Supervisor's Consent

Name of Candidate: HAFSA SARWAR

Institute: LADY READING HOSPITAL / MEDICAL TEACHING INSTITUTE

Signature & stamp of Main (parent) Supervisor: ___________________________________________________

Signature & stamp of Rotational Supervisor: ______________________________________________________

Note:
If you have done rotation at other than parent institute, Please get sign & stamp of Head of Institute (Not HOD).

Signature & stamp of Head of Parent Institute: ____________________________________________________

Signature & stamp of Head of Rotational Institute (Not HOD): ________________________________________

Signature of Candidate: ________________________________ Dated: 29-05-2025

Original Documents to be upload in step-2:

Step1 complete application form duly signed by main & rotational Supervisor, and yourself as an applicant.
Evidence of joining elective rotation duly endorsed by the supervisor.
Appointment / placement order issued by institution"s administration department.
If there is any change in particulars please attach your written application.

page 2 / 2

You might also like