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Residency Form

This document is an application form for postgraduate residency training for the session starting July 2025, completed by Muneer Ud Din for the FCPS program in Orthopaedic Surgery. It includes personal information, academic qualifications, and employment history, along with instructions for application processing and submission deadlines. The application must be submitted with a processing fee and is subject to verification of the provided information.

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Ehsan Lasi
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44 views2 pages

Residency Form

This document is an application form for postgraduate residency training for the session starting July 2025, completed by Muneer Ud Din for the FCPS program in Orthopaedic Surgery. It includes personal information, academic qualifications, and employment history, along with instructions for application processing and submission deadlines. The application must be submitted with a processing fee and is subject to verification of the provided information.

Uploaded by

Ehsan Lasi
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

APPLICATION FORM FOR POSTGRADUATE RESIDENCY TRAINING

(SESSION - JULY 2025)

Form #:LNH/HR/PG/ 8030


PERSONAL INFORMATION
Full Name: MUNEER UD DIN Father's/ Husband's Name: GHULAM AKBAR AYAZ
Residency Appiled For: FCPS No. of Years: 4
Department: Orthopaedic Surgery
Email: [email protected] Contact #:0333-3964428
Present Address:
B44 ILLAHABAD TOWN ROONJHA HOUSE NEAR PEER BUKHARI SAKRAN ROAD HUB CHOWKI
Date of Birth: 04/03/1995 Gender: Male
Nationality: PAKISTANI C.N.I.C.: 51501-3096309-9
Religion: Islam Marital Status: Single
PMDC Resigtration No: 751632-04-M PMDC Valid Upto: 19/05/2030

ACADEMIC QUALIFICATION

Year of Grade /
Qualification Subjects/ Speciality Board / University / Institution
Passing Division

IMM

FCPS-I 2023 1ST SURGERY CPSP

MBBS 2022 1ST ALL BOLAN MEDICAL COLLEGE QUETTA

Intermediate 2014 A PRE MED LAHORE BOARD

Matric 2011 B SCIENCE BALOCHISTAN BOARD

EMPLOYMENT RECORD

Organisation Position Held From To Reason of Leaving


BOLAN MEDICAL COLLEGE PGR DURATION
02/07/2024 30/06/2025
HOSPITAL SURGERY COMPLETE
Whether Previously Employed at Liaquat National Hospital. If Yes, Give Details

Emp# Position Held From To Reason of Leaving


No Previous Record !

Any Relative(s) Working at Liaquat National Hospital? Yes/No (If Yes, Give Details)

SR.# Name Designation Department Relation


No Previous Record !

I solemnly declare that the information provided on this application form is correct to the best of my
knowledge and that submission of any false or misleading statement/document will result in the
immediate termination of my residency training at LNH.

INSTRUCTIONS:

1. The Application Form will not be accepted/processed unless the prescribed application
processing fee is paid.
2. Please download the payment receipt and bring it on the date of the aptitude test/interview along
with the original CNIC.
3. The Application Processing Fee is non-refundable and non-transferable.
4. The schedule of the aptitude test and/or interview shall be communicated to the applicants
through email, SMS, and LNH Website https://www.lnh.edu.pk/education/residency-training-
program
5. Applicants wishing to apply for residency training in more than one specialty must submit separate
Application Forms for each specialty and pay the processing fee.
6. Please visit https://www.lnh.edu.pk/education/residency-training-program for details and FAQs.
7. The Application submission Deadline is June 02, 2025 .

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