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AFJOG Complex of Health Centres

MCPS Family Medicine Training Admission Form

National Centre of Excellence

AFJOG Complex of Health Centres

Department of Family Medicine

MCPS Family Medicine Training Admission Form

Eligibility Criteria

Two Year Supervised Training

PMDC certificate
MBBS from recognized medical institution
House job completion certificate
RTMC Certificate / Submission proof of RTMC application

Experience Based Learning

3–5 years clinical experience
PMDC certificate
MBBS from recognized medical institution
House job completion certificate
RTMC Certificate / Submission proof of RTMC application

International Students

NICOP
Valid PMDC Certificate
MBBS Degree

Select Training Track

Two Year Supervised Training

Experience Based Learning

International Students

Personal Details

First Name

Last Name

Father's / Husband's Name

Date of Birth

Gender

Male

Female

CNIC

Format: XXXXX-XXXXXXX-X

NICOP

Format: XXXXX-XXXXXXX-X

Email

Please enter a valid email address.

Overseas Address

Address 1

Address 2

Country

City

Mailing Address

Street Address

City

Please specify City

State / Province

Permanent address is same as mailing address

Permanent Address

Street Address

City

Please specify City

State / Province

Contact 1

Format: +92 300 1231234

Contact 2

Format: +92 300 1231234

Email

Please enter a valid email address.

Current Position

Clinic / Working Hospital

Emergency Contact

Name

Email

Phone

Format: +92 300 1231234

Professional Experience

Experience 1

Designation

Department

Institute

Employment start month

Employment end month

Present

Select this when the employment is ongoing.

Academic Qualifications

Qualification 1

Degree / Diploma / Fellowship

Specialty

Institute / Board

Year Obtained

Select the month and year the qualification was completed.

Statement of Purpose

Please provide a brief statement of purpose for joining this training program. Maximum 300 words.

Required Document Attachments

Matric Certificate

Accepted formats: PDF, PNG, JPG, JPEG, ZIP. Max size: 10MB.

Intermediate Certificate

Accepted formats: PDF, PNG, JPG, JPEG, ZIP. Max size: 10MB.

MBBS Degree Copy

Accepted formats: PDF, PNG, JPG, JPEG, ZIP. Max size: 10MB.

MBBS Transcript

Accepted formats: PDF, PNG, JPG, JPEG, ZIP. Max size: 10MB.

Valid PMDC/PMC Registration

Accepted formats: PDF, PNG, JPG, JPEG, ZIP. Max size: 10MB.

CNIC Copy (Front & Back)

Upload exactly two clear images: the front side first and the back side second. Accepted formats: PNG, JPG or JPEG. Maximum size: 10MB per image.

RTMC Certificate / Submission proof of RTMC application

Accepted formats: PDF, PNG, JPG, JPEG, ZIP. Max size: 10MB.

Passport size photograph

Allowed formats: PNG, JPG, JPEG. Max 2MB.

3–5 Years Clinical Experience Certificates

Upload up to five certificates confirming your clinical experience. Accepted formats: PDF, PNG, JPG or JPEG. Maximum size: 10 MB per file.

Application Process Fee

Bank account details

Bank: Bank Al-Habib Limited (New Garden Town Branch)
Account title: AFJOG Scholarship
Account number: 0007-0076-056655-50-2
IBAN: PK06BAHL 0007007605665550

PKR 2,000 Processing Fee Receipt

Upload a clear scan or photograph of the paid application processing fee receipt. Accepted formats: PDF, PNG, JPG or JPEG. Maximum size: 10 MB.

I certify that all information provided in this form is correct to the best of my knowledge. I understand that withholding or providing false information will make me ineligible for admission in this program.

Important fee policy for Track 2 applicants

Applicants selected for Track 2 (Online Training) will be required to pay an admission fee of PKR 60,000 only after their application has been formally reviewed and accepted by AFJOG. The fee is not payable at the time of submitting this application.

Once deposited, the admission fee is non-refundable and non-transferable. No full or partial refund will be issued if an admitted applicant withdraws, discontinues the program, does not attend scheduled learning activities, or is unable to continue their studies for any personal, professional, medical, technical, or other reason. Applicants should therefore confirm that they can meet the program commitments before making payment.

Signature & Date

Signature of the Applicant (Full Name)

Digital Signature Upload

Have signature on a white paper and upload that picture here. Allowed formats: PNG, JPG, JPEG. Max 2MB.

Date

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