KHYBER MEDICAL UNIVERSITY
APPLICATION FORM FOR FORENSIC LAW CERTIFICATION
Paste three
FORENSIC LAW CERTIFICATION photographs
(attested on the
Serial No. _________ back)
(The form should be filled in BLOCK letters)
Note: Please read the instructions given in the admission policy in the prospectus and on the
reverse of application form before filling this form. Applicant shall pay Rs. 1800/- at the time of submission of
Admission form duly deposited in KMU Account No. 0977029551007356 (fee online)
in any branch of (MCB Bank) and attach the Original fee receipt at the time of submission
of application form.
Please tick (√) only your qualification field
MEDICINE
Final year MBBS/BDS Graduates House Officers TMOs Professionals Other (Please specify)
MBBS/BDS
Student
LAW
Final year LLB LLB/LLM Graduates Prosecution Professionals Other (Please specify)
or LLM student Department (Including Judiciary)
(any year)
LAW ENFORCEMENT AGENCIES
Investigation SHO DSP SP CTDs Other (Please specify)
Officer
(IO)
ALLIED HEALTH PROFESSIONALS
Nursing MLT DPT Technicians Other (Please specify)
Sciences
BIOMEDICAL SCIENCES
Health Sciences Life/Biological Pharmaceutical Other (Please specify)
Sciences Sciences
RELEVANT SOCIAL SCIENCES
Criminology Psychology Sociology Other (Please specify)
Name: Father Name: _____
(As per SSC or equivalent certificate in BLOCK letters)
Date of Birth (dd/mm/yyyy): Gender: Male / Female
Domicile: CNIC No: Nationality:
Mailing Address:
Contact No. (Tel: Res) Cell: Email:
Permanent address:
In case of emergency please contact: Name& Parentage:
Address: Cell/Tel:
Application Processing Fee: Amount: Rs. Receipt No. Dated:
EDUCATIONAL RECORD:
S No Qualification Year of Total Obtained % age Name of
Annual/Semester
(SSC & onward) passing Marks Marks Marks Board / University
1.
2.
3.
4.
5.
EXPERIENCE: Experience will be considered valid, only if valid experience certificate and no objection certificate (NOC) is provided at the time of
submission of application form. Attach additional sheet if necessary.
Name of Duration
Designation Job Description
Organization/Institution From To
RESEARCH PUBLICATIONS: Please attach copy of the enlisted publications.
S Name of Journal / Impact Factor of the
Title of Research Date of Publication Principal / Co- Author
# Conference Journal
1
Were you ever involved in criminal proceeding in a Court of Law? If yes, attach brief account:
Certified that the facts produced are correct to the best of my knowledge:-
___________________ ____________________________________
Signature of the Applicant Signature of the Applicant’s Father/Guardian
CNIC No._____________________________
For office Use only
Remarks / Requirements (Scrutiny Committee)
Checked by Members of Scrutiny Committee: Chairman Scrutiny Committee:
Attach attested photocopies of the following documents with the application form in the following sequence:-
Note: Check (Ö ) the relevant box for the attached documents
Three Passport size coloured photographs of the applicant attested on the back.
Copy of Transcripts and certificates of SSC, HSSC examinations.
Copy of Degree and Transcript of MBBS/BDS examinations.
Copy of Degree and Transcript of BS/M.Sc. examinations in the relevant field.
Copy of Degree and Transcript of MS/M. Phil (18 years) examinations in the relevant field.
Copy of any other higher relevant qualification.
Copy of the valid registration of the relevant council of the professional academic qualification (where applicable).
A copy of Computerised National Identity Card.
A copy of computerized National Identity Card of the father/guardian of the applicant.
A copy of Domicile Certificate (domicile certificate once submitted with the application form will not be changed).
Copy of NOC (for in service candidates only).
Copy of Professional Resume and Experience certificates.
Personal Statement/mission statement.
All PhD should bring a research proposal for presentation.
Undertaking on judicial stamp paper of Rs. 100/- duly attested by notary public /Political Agent on prescribed specimen to be obtained
from concerned Institute (only after getting admission).
IMPORTANT NOTES/INSTRUCTIONS
1. All applicants must appropriately fill and sign the admission form and undertaking. Incomplete/not properly filled form in any aspect will
be rejected. Avoid rewriting/cutting, while filling the form.
2. The undertaking/agreement must be filled in by the candidate on stamp paper of Rs. 100/- and should be duly attested by the Political
Agent/First Class Magistrate (only after getting admission only).
3. Applicant must carefully study the Admission Policy of Khyber Medical University in order to understand the Rules.
4. Application forms with any false statement by the candidate will be rejected
5. If any certificate submitted by the candidate is found false, or forged during his/her study period his/her admission shall be cancelled
forthwith and he/she shall be blacklisted for admission to any professional colleges/institute in Khyber Pakhtunkhwa. Further legal action
can be taken against the student under the existing criminal laws.
6. Director KMU Institute of Basic Medical Sciences (IBMS), Academic Block, Ground Floor, Phase-5, Hayatabad, Peshawar. Tel: +92-91-
5892873.
7. Director, Center for learning Law and Business, 56 C Gul Mohar Line, University Town, Peshawar, Khyber Pakhtunkhwa
Ph: +92 301 8610058
