FCPS Part-II Application Form
Please add your information carefully, you will not be able to resubmit the form.
Program
BDS
Applicant Name
CNIC (i.e 1234567899999)
Mobile No (i.e 03*********)
Attach Personal Photograph (only image file allowed)
Email
Father Name / Husband Name
Gender
Select
Male
Female
Choose Specialty
Select
Oral & Maxillofacial Surgery
Prosthodontics
Marks in selected specialty
(Obtained Marks)
Marks in selected specialty
(Total Marks)
Percentage in selected specialty
(%)
Qualification BDS Total Marks
Fourth Prof
Passed In first attempt
fourth PROF Attempt Certificate (only PDF,Word and image file allowed)
Marks of fourth prof exam
(Obtained Marks)
Marks of fourth prof exam
(Total Marks)
Percentage of fourth prof exam
(%)
Third Prof
Passed In first attempt
Third PROF Attempt Certificate
(only PDF,Word and image file allowed)
Marks of third prof exam
(Obtained Marks)
Marks of third prof exam
(Total Marks)
Percentage of third prof exam
(%)
Second Prof
Passed In first attempt
Second PROF Attempt Certificate (only PDF,Word and image file allowed)
Marks of second prof exam
(Obtained Marks)
Marks of second prof exam
(Total Marks)
Percentage of second prof exam
(%)
First Prof
Passed In first attempt
First PROF Attempt Certificate (only PDF,Word and image file allowed)
Marks of first prof exam
(Obtained Marks)
Marks of first prof exam
(Total Marks)
Percentage of first prof exam
(%)
Any other Subjects having more than 80%
Select
0
1
2
3
Name of first subject
First Subject (Obtained Marks)
First Subject (Total Marks)
Percentage of First Subject(%)
Name of second subject
Second Subject (Obtained Marks)
Second Subject (Total Marks)
Percentage of Second Subject(%)
Name of third subject
Third Subject (Obtained Marks)
Third Subject (Total Marks)
Percentage of Third Subject(%)
Publications in
Publications in a PM&DC recognized Journal
Select
0
1
2
Presentation in any national / international conference
Select
0
1
2
PM&DC recognized Journal (Web Link URL) - 1
PM&DC recognized Journal (Web Link URL) - 2
PM&DC recognized Journal Hard Copies - 1 (only PDF,Word and image file allowed)
PM&DC recognized Journal Hard Copies - 2 (only PDF,Word and image file allowed)
National / international conference presentation (Web Link URL) - 1
National / international conference presentation (Web Link URL) - 2
Proof of presentation - 1 (only PDF,Word and image file allowed)
Proof of presentation - 2 (only PDF,Word and image file allowed)
Graduated From
Select
IOD CMH LMC
NUMS Graduate
Other College
Are you CMHLMC employee ?
Select
Yes
No
Teaching experience in applied specialty, after house job
Select
No Experience
1 Year
2 Year
3 Year
+3 Year
Personal Statement
Documents
Updated CV (only PDF,Word and image file allowed)
CNIC (Front & Back) (Select multiple Upto 2) (only PDF,Word and image file allowed)
All Detailed Marks Certificates of BDS (Select multiple Upto 4) (only PDF,Word and image file allowed)
House Job Certificate (only PDF,Word and image file allowed)
MBBS/BDS Degree (only PDF,Word and image file allowed)
PMDC/PMC Permanent Registration Certificate (only PDF,Word and image file allowed)
FCPS Part I Result (only PDF,Word and image file allowed)
Experience Certificate (If working) (only PDF,Word and image file allowed)
Proof of Admission Fee Payment (only PDF,Word and image file allowed)
Process Application