MCPS TRAINING

REGISTRATION FORM
FOR NEW TRAINEES

PRINT IN CAPITAL LElTERS DATE OF APPLICATION :

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I# FlJTURE ALL &JhWWCATW4 WfWTRAlNEEs R&SEWO
THROUGH EMAIL FOR QUICK AND EFFECTIVE COMMUNICATION. IT IS ESSEN~ALTHATTH'ECANDIDATE SHOULD d! k.
 a candidate gives wrong inform
CPSP, which may include cancell
examinations for such period as m
Y
I u n d e r t a k e . t o f f e p the CPSP i
I also undgtake to inform CPS
the unregistered period of train
may be specified by CPSP.

IAM WILLINGTO SUPERVISETHEABOVE NAMED MCPSTRAINEEINTHE SPEClALrPl OF

SIGNATURE OF HEAD O F INSTlTUTlON SIGNATURE OF SUPERVlSOR

&STAMP &STAMP

DOCUMENTS TO BE ENCLOSED:

n TWEE COLOURED PHOTOGRAPHS(STANDARD PASSPORT SIZE) ONE PHOTOGRAPHTO BE ATTESTED IN FRONT AND PASTED IN
THE BOX, TWOTO BE ATTESTED ON THE BACK. PHOTOGRAPHS S H W L d INDICATE NAME OF CANDIDATE IN CAPITAL W E R S
E! ATTESTED PHOTOCOPIESOF:
(I) M.B.B.S. DEGREE
(ll) PMDC REGISTRATION CERTIFICATE(VALID)
. (Ill) 4RPOlNTklEHIlPLAGEMEW ORDEB'IBYEQBY IN$TW!JTI~N'S ADMINISWATION DEPARTIlEHT
(IV) L m E R OF JOINING FROM THE DEPARTMENT
El C H A W OF PAYMENT OF REGISTRATIONFEESRS. 3OW- (NON REFUNDABLE) +C-

8 D E W S REIATED TO UNIT/SUPERWDR: >,

(I) NO. OF TRAINEE REGISTEREDWmc THE PROPOSED SUPERVISOR
(I0 NO. OF BEDS IN THE RUEVAN7 UNIT
(Ill) FACULTY MEMBERS *ITHE UNITqDULYVZRFIU) FROM W E HEAD OF4NSTtrtm

1. lNCOMPLETE.APPLlCATION WILL NOT BE PRPCESSED

2. THIS APPLICATION 1S VAUD FOR 1 MONTH ONLY. IF R E J E C T E W U N A C C E P T E D IT HAS TO BE

I FOR OFFICE USE

7th C e m d Street. Phare II. DHA, Karachi-75500 el. No. 9207100-lo: Fa*: 9207138, UAN: 111-46.606: Website: w.cpsp.edu.pk .**
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