Abbottabad International Medical College

Passport Size Photograph (Click to upload)

Admission Application Form for

(MRCEM/FRCEM) Training Programme

EM Foundation Programme for Junior Doctors

EM Programme for Undergraduates

Local Candidate

Overseas Pakistanis

Foreign National

Graduate Students

Undergraduate Students

House officer

Name

Father’s Name

Present Address

Tel/Cell

Permanent Address

Phone (Res)

Fax

Date of Birth

Place of Birth

Sex

Male

Female

10.

Nationality

11.

Domicile

12.

Religion

13.

Father’s / Guardian’s name occupation/profession exact position and Postal Address:

Phone (Res)

Fax

Emergency Contact No.

14.

Qualification	Yeas of Passing	Marking Obtained	Total Marks	Name of the Board/University	Name of the School/College
Matriculation: (Secondary School)
F.Sc Pre Med: (Higher Secondary School)
MBBS/BDS

15.

In case of student name and class of Institute & University

Who will bear the cost of your training

His/Her exact Occupation/Profession

Exact Position held if in service

Full Postal Address

Phone # (Res)

Fax

16.

Are you physically fit

Yes

If not mention the problem

17.

Have you ever been convicted in a court of law

Yes

If yes then when and what for

18.

Have you been vaccinated against Hepatitis, Covid-19

Yes

If yes where and when

19.

The following attested photo-copies of the certificates etc. Should be attached with the application:

A Copy of Detail Marks Certificate of the examination on basis of which admission is sought. (F.Sc. Pre Medical or similar examination like the British G.C.E “A” level or American / Canadian High Scholl Certificate with grades etc.)

A Copy of secondary school Certificate Examination (Matriculation or “O” Level)

A Copy of National Identity Card or Form B.

A Copy of the Domicile/Residence Certificate.

A Copy of Character Certificate from head of the institution last attended.

A Copy of any other educational achievement or co-curricular activity Certificate that an applicant wishes to be considered.

A medical Certificate duly signed by a registered medical doctor regarding physical fitness.

A certificate that you have received proper Hepatitis B vaccine & Covid-19 Certificate.

Six Copies of passport size (2x2 inches) colour photograph (White Background) to the applicant.

Current Institute employee / Student Card.

19.

Declaration

I, Mr/Miss S/D/o declare that I have made the correct statement, if any statements is found false I shall be disqualified from training Programme.

I shell fully abide by the college rules and regulations as at present and to be announced by the college from time to time

I have carefully read the items No, 23 above and fully understand and agree to abide by the contents.

NIC. No

Passport No, in case of foreign applicants

Issued on

21.

Declaration by:

I, Mr/Mrs S/O Father / Guardian of I, certify that my son / daughter / ward is applying for admission in MBBS course, which is of five years’ duration at I, Abbottabad International Medical Institute, Abbottabad with my permission. He / She has made correct entries and I endorse his/her declaration. I undertake to arrange payment of his/her fees and other dues regularly on early basis during the 1st month after start of each session without delay. I further assure that my son/daughter / ward will strictly abide by the rules and regulations of the college. I accept and agree to all the present and future decisions of the college authorities.

NIC. No

(Passport No, in case of foreign applicants

Issued on

ABBOTTABAD INTERNATIONAL MEDICAL INSTITUTE (PVT) LTD

P.O. Abbottabad Public School, Mansehra Road, Abbottabad.

Email: info@aimi.edu.com Website: www.aimi.edu.pk

Abbotabad International Medical Institute

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ABBOTTABAD INTERNATIONAL MEDICAL INSTITUTE

Phone No. +92 99 (2406) 615

ABBOTTABAD INTERNATIONAL MEDICAL INSTITUTE (PVT) LTD

P.O. Abbottabad Public School, Mansehra Road, Abbottabad.

Email: info@aimi.edu.com Website: www.aimi.edu.pk

Abbotabad International Medical Institute

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