Online Application Form For
Admissions in FELLOWSHIP in INTERVENTIONAL RADIOLOGY (IR)
Dow University of Health Sciences, Karschi

Online Application Form Step 1 of 2.
Carefully Fill This Online Form and then Press "Submit Application Form" Button.

PARTICULARS OF APPLICANT
Speciality:
Full Name: Father Name:
Email: Marital Status:
Gender: Date of Birth:
Domicile: Nationality:
CNIC: City:
Mobile: Mobile 2:
Address:

Other Information

Graduate From: MBBS Pass Year:
House Job-1 House Job-2
PMDC #: PMDC Valid Date
FCPS-1 Cleared FCPS-1 Pass Date
Other Experience1 Other Experience2

FCPS-II Detail

FCPS-II Register in CPSP: Date of Joining
Date of Releiving RTMC #:
Training Institute Supervisor Name:

Government Servant

Date of Joining: Place of Posting:
Designation:
Basic Pay Scale: Department:

For Sub-Speciality Candidate Only

02-Years Complete in Med/Sur: Date of Completion:
Date of Commenced:
RTMC #: Certificate Issued:
Trainig Intitute: Name of Supervisor:

Please review your application before submit.