Personal Data Sheet

Entry Test 2007-2008
For admission to Government Medical & Dental Colleges of the Punjab
(ALL ENTRIES IN CAPITAL LETTERS)

ENCIRCLE (¡ ) THE RELEVANT COLUMN
Admit Card No.
(Please leave blank)
1. a) SEX Male Female b) RELIGION
2. Name
3. Date of Birth
4. Father’s Name
5. Distt of Domicile * Code of district as in item No. 13

6. ACADEMIC RECORD
Qualification Roll No. Year of Passing Marks Obtained
(Without N.C.C.) *Board/University
Code as in item No.13
F.Sc./
Equivalent

7. F.Sc. Session Annual -- Supplementary 8. Muslim Hafiz-e- Quran Yes -- No.
9. Disabled Yes - No
10 Postal Address ______________________________________________________________
__________________________________________________________________________
__________________________________________________________________

Phone No. __________________Fax: ________________

___________________
Signature of applicant

* Use codes given on the back of this page item No. 11.
11. BOARD OF EDUCATION AND DISTRICT CODE

Code Code Attock
ATK
Azad Kashmir
AJK
Bahawalnagar
BNR
Bahawalpur
BWR
Bhakkar
BKR
Chakwal
CHL
D.G. Khan
DGK
Faislabad
FBD
Gujranwala
GWA
Gujrat
GJT
Hafizabad
HBD
Hyderabad
HYD
Islamabad
IBD
Jhelum
JLM
Jhang
JHG
Karachi
KHI
Kasur
KSR
Khanewal
KWL
Khushab
KSB
Lahore
LHR
Layyah
LYH
Lodhran
LDN
Mandi Bhauddin
MDN
Mianwali
MWI
Mirpur
MPR
Multan
MTN
Muzaffargarh
MGH
Narowal
NWL
Okara
OKA
Other Countries
OTH
Pakpattan
PTN
Peshawar
PWR
Quetta
QTA
Rahimyarkhan
RYK
Rajanpur
RJP
Rawalpindi
RWP
Sahiwal
SWL
Sukkar
SKR
Sargodha
SGA
Sheikhupura
SPA
Sialkot
SKT
Toba Tek Singh
TTS
Vehari
VRI
Note: i) Use college codes as given in appendix, (application form) page 1.

ii. Please check that the same order of preferences has been entered as on page 5, section 11
of the application form.