FJMU Online Application Form

Program Selection

Payment

Application Form

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Step 1: Select Your Program

Please select the program you wish to apply for. This will determine the bank account details for payment.

Select Program: *

Step 2: Payment Information

Generate a bank challan and complete the payment before proceeding with your application.

Application Processing Fee: Select a Program

Please complete the payment before submitting your application.

Bank Account Details

For M.Phil Programs:

Account Title: Vice Chancellor Fatima Jinnah Medical University, Lahore

Account Number: 1252-790123140-1

Amount: PKR 5,000/- (Non-refundable)

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Payment Receipt Details

After completing the payment, please fill in the receipt details below:

Receipt Date: *

Receipt Number: *

Bank Name: *

Branch Name: *

Step 3: Application Form

Please fill in all the required information for your application.

Program-Specific Requirements

M.Phil Requirements

Undergraduate Degree Details:

Research Interest:

Profile Information

PMDC Number: *

Full Name: *

Applicant Photo: *

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Passport size photo (35mm x 45mm)

Father's Name / Husband Name: *

Nationality: *

NIC: *

Gender: *

Date of Birth: *

PMDC Registration Valid Upto: *

Cell Number: *

Email: *

City/Province/State/Country: *

Address: *

Current Employment Information

Designation: *

Institution/Organization: *

Date of Joining: *

Phone Number:

Mailing Address: *

City/Province/State/Country: *

Current Job Responsibilities: *

Academic Qualification

Note: For the five-year academic record, please sum all obtained marks and total marks across all years. For example, if you obtained 850/1000 in year 1, 820/1000 in year 2, etc., sum them up as total obtained marks and total possible marks.

Academic Record 1

Degree Title: *

Institution: *

Specialty:

Passing Year: *

Obtained Marks:

Total Marks:

Duration:

City/Province/State/Country:

Past Employment Experience (Non-Teaching)

Employment Record 1

Designation:

Institution:

From Date:

To Date:

Duration (Years, Months, Days):

City/Province/State/Country:

Teaching Experience (Medical/Dental College)

Teaching Record 1

Designation and Description:

Institution/Organization:

From Date:

To Date:

Duration (Years, Months, Days):

City/Province/State/Country:

Medical Education Workshops Attended

Workshop Record 1

Workshop Title:

Institution/Organization:

Description:

From Date:

To Date:

Duration:

City/Province/State/Country:

Medical Education Courses Attended

Course Record 1

Course Title:

Institution/Organization:

Description:

From Date:

To Date:

Passing Year:

Duration:

City/Province/State/Country:

Published Research Articles

Article Record 1

Article Title:

Journal/Publication:

Authors:

Publication Year:

DOI (if available):

Impact Factor:

Research Papers Presented

Paper Record 1

Paper Title:

Conference/Event:

Presentation Type:

Presentation Date:

Location:

Abstract/Summary:

Academic Programs Currently Enrolled (if applicable)

Program Record 1

Program Title:

Institution:

Program Level:

Start Date:

Expected End Date:

Current Status:

Current GPA (if applicable):

Location:

Technical Skills & Other Information

MS Word Proficiency:

MS PowerPoint Proficiency:

MS Excel Proficiency:

SPSS Data Entry & Analysis:

Email & Internet Research Skills:

Statement of Interest

Reason for your interest in the selected program: *

Instructions

Instructions before submission of hard copy of application form:

Take a print of submitted application
Candidate must sign the application form against declaration given on last page
Attach the following documents (duly attested/verified, fill checklist below, following the given order) with the hard copy of application form and submit before closing date and time as per advertisement in the Department of Medical Education (DME), Fatima Jinnah Medical University, Queen's Road, Lahore (by hand/by post)

Check List

Original Bank Slip for Application fee

Three recent pass-port size photographs

Copy of the National Identity Card & Domicile Certificate

Matric and FSc Certificates or equivalent

MBBS/BDS Certificate (Attach copy of Detailed Marks Certificate of each year as well)

Masters /M.Phil /FCPS /MCPS Degree and Transcripts/DMCs where applicable

Certificate in Health Professional Education (CHPE) or Equivalent

Copies of the Publications [at least abstract of the publication(s) including complete detail of the concerned Journal]

Experience Certificate(s)

Valid Permanent PM&DC Registration Certificate

Declaration

I hereby affirm that all the information provided by me in this form is correct to the best of my knowledge and belief, and no material has been concealed or withheld herein. Incomplete form in any way will be rejected.

Application Submitted Successfully!

Your application has been submitted and data has been saved to Google Sheets. You will receive a confirmation email with a PDF copy of your application shortly.

FATIMA JINNAH MEDICAL UNIVERSITY

Step 1: Select Your Program

Step 2: Payment Information

Application Processing Fee: Select a Program

Bank Account Details

Payment Receipt Details

Step 3: Application Form

Program-Specific Requirements

M.Phil Requirements

Profile Information

Current Employment Information

Academic Qualification

Academic Record 1

Past Employment Experience (Non-Teaching)

Employment Record 1

Teaching Experience (Medical/Dental College)

Teaching Record 1

Medical Education Workshops Attended

Workshop Record 1

Medical Education Courses Attended

Course Record 1

Published Research Articles

Article Record 1

Research Papers Presented

Paper Record 1

Academic Programs Currently Enrolled (if applicable)

Program Record 1

Technical Skills & Other Information

Statement of Interest

Instructions

Check List

Declaration

Application Submitted Successfully!