ANNEX- UG-01

Photo
UNDERGRADUATION REGISTRATION FORM

1. Name: _________________________________ 2. Father’s/ Husband’s Name:

3. Date of Birth (dd/ mm/ yyyy):_________________ 4. Gender:
5. Nationality: ______________________________6. District of Domicile:
7. CNIC Number: ____________________________8. PM&DC Registration No:
9. Mailing Address (mention all relevant information like H. No., St. No., Sector, etc):

10. Telephone/ Mobile No: _____________________11: Email Address:

12. Academic Data/ Qualification

Division Marks Major
School/ College/
From To GPA/ obtained subjects
University
Grade (%) taken
 Matric
 O’Level/ Other
 F.A./F.Sc.
 A’Level/ Other
Other qualification

Department: ________________________________College/ Institute:____________

Program: MBBS____ BDS____ BSN_____ MLT______ CP______ Other_______

CERTIFICATE BY THE APPLICANT

I, hereby, solemnly declare that the information provided and statements made by me in
this form are true and correct to the best of my knowledge and belief. I fully understand that any
false statement of mine shall render me liable for termination from the college/ institute/ program.

Student Signature: _________________ Head/ Dean: _______________

FOR REGISTRAR OFFICE USE ONLY

Registration No. issued ______________________

Checked by Registrar

Signature: Signature:
Name: Name:
Date: Date:

INSTRUCTION
1. Attach Following:
a) Two 1" x 1" size photographs of the candidate with sky blue background
attested on the back
b) Photocopies of certificates of Matric/ Intermediate or equivalent (including
equivalence certificates)
c) Photocopy of Entry Test result of NUMS/ NTS/ GAT
d) Original NOC to be attached, if migrating from other Board/ University/
Institution
e) Photocopy of Passport/ (______________)
f) Photocopy of CNIC/ Form ‘B’
2. The Principal/ Dean of all Colleges/ Institutions shall submit the Registration Form
alongwith attested copies of academic record and Registration Fee at prescribed
rates to the Registrar within 20 days of admission
3. The Form, photocopies of Academic Record and Photographs must be attested by
the Principal/ Dean or applicant's duly authorised nominee
4. In case of a student migrating from any other University/ Board, Migration
Certificate/ NOC in original should also be submitted
5. If any student is struck off from the rolls of a College/ Institution/ Department,
migrates/ shifts to another College/ Institution/ Department, rusticated or expelled
or is readmitted, such facts shall be reported to the Registrar within seven days.
6. In case of a student already registered with University, getting admission to
another course at the same/ another College/ Institution/ Department, the Principal
/Dean/ Head of the College/ Institution/ Department shall forward a fresh
registration form dully filled from all respects quoting the registration number of
such student alongwith the prescribed registration fee for the course.

Distribution:
1 x copy to be maintained in the concerned Institute, Registrar Office/ Academic
Directorate & Controller of Examination.
 ANNEX-UG-02
MIGRATION/ TRANSFER OF CREDITAPPLICATION FORM
Intended Area of Transfer

1. Programme: ____________________________________
Personal Data (Type or write in Block Letters)
2. Name: ____________________________________________
3. Gender: __________
4. Date of Birth: _____________
5. Nationality: ________________________________________________________
6. C.N.I.C/ NICOP No:
_ _
7. Fathers’ Name:
____________________________________________________________
8.Present Postal Address
_________________________________________________________________
_________________________________________________________________
9.Mobile No:________________________ E-mail:___________________________
10. Academic Data: (Provide all transcripts and report all results)
Name and Location From To Division Marks Major
of School/ College/ GPA/ obtained subjects
University Grade (In%) taken
 Matric
 O’Level/ Other
 FA/F.Sc.
 A’Level/ Other
11. Academic Achievements
Distinctions, awards paper published and other recognitions of academic achievements
(please indicate the basis of selection and date of each listing)
___________________________________________________________________
___________________________________________________________________
12. Current Academic Programme
Programme (currently studying): _________________________________________
Institution/ University: ________________________ Entry date: ________________
Semesters completed: _______________
Credits earned: ____________________
CGPA: ___________________________
13. Reasons of Transfer (Be specific and to the point. Clearly indicate changes in
circumstances, which render it difficult for you to continue education in your present
institution)
_______________________________________________________________
_______________________________________________________________
14. Undertaking: I have read the details given in application form for Transfer of Students.
I hereby apply for admission to the ______Programme at NUMS as a Transfer student
and certify that, to the best of my knowledge, all the above statements are complete and
correct. I also declare that I have never been involved in any illegal activity. I understand
that any attempt to influence the Admission process or providing false or incomplete
information would result in my disqualification or dismissal from the programme at any
stage.
Date: ______________________Applicant’s Signature: _____________________
Applicant’s name: _________________________
15. Please attach the following documents with the migration form:
a. Official transcript of semesters studied at Parent University.
b. Photocopy of mark-sheets of Matric and F.Sc./ equivalent examinations (equivalence
certificates from IBCC, Pakistan in case of O/A level/ equivalent exams)
c. Detailed course outlines of the courses already studied
d. No Objection Certificate (NOC) from parent university
e. Character certificate
f. Bank Draft amounting to Rs. 5000/- (Rupees five thousand) in favour of NUMS as
processing fee (non-refundable).

16. (TO BE FILLED BY CONCERNED NUMS COLLEGE / INSTITUTE)

Details of Accepted Courses/ Credits Course Code

Course Code Course Title Credits Grade

Details of Deficient Courses

Course Code Course Title Credits Grade

The case for migration from above mentioned institution to our College/ School/ Institute
has been critically examined by faculty and it is recommended that migration/ transfer of
credits of student be accepted to join _________semester with ____________course.
Recommended/ Not Recommended

Dated: _____________ Signature of Principal/ Dean/ Commandant:

Countersigned
Registrar
National University of Medical Sciences
 ANNEX-UG-03

REQUEST FOR FREEZING OF SEMESTER

Name: Registration No:

Department: Institute:
Cell No: E-mail:
Freezing Requested for: Semester_________ Date____________
Will rejoin Semester_________ Date____________
Reasons for freezing a. Domestic / Personal b. Medical Reason
(Tick ( )
c. any other reason:
Present Postal Address:
Date: ______________ Student’s Signature ____________________

1. Previous record of freezing

2. Copy of Fee Challan attached Amounting to Rs.
3. Remarks of Head of Department

Date ______________Signature of Head of Department ___________________

Recommendation of Dean/ Head of Institute

Recommended/ Not Recommended

Date: _____________ Signature: __________________

Dean/ Head of Institute

(For Registrar Office use only)

1. Freezing semester:
2. Will rejoin: Date_______________ Semester: ____________
Approved/ Not Approved

Date _________________ Registrar___________________________

Notes: Freezing period will be counted towards overall allowed duration for completion of
PG program.
a) Applicant will be charged registration fee @ of 25% of tuition fee per month for the
freezing period.
b) Copy of approved form will be sent to Registrar/ Academic Directorate & Controller
of Examination.
 ANNEX-UG-04

SEMESTER ASSESSMENT/ EXAMINATION

RESULTS

Faculty/ Course Instructor: _____________________________________________

Program: ________________________________Department: _________________
Institution: ____________________________Name of Course: _____________
Course Code __________Credit Hour: _________Semester: spring/ summer/ fall
a) Coursework (Total Marks___________)

Marks
S. No. Name Registration No. obtained

1.
2.
3.
4.

b) Practical/ Clinical (Total Marks________)

Marks
S. No Name Registration No.
obtained

1.
2.
3.
4.

Date____________ Faculty/ Course Instructor signature: ________________

Countersigned
_______________
Head of Department Dean/ Head of Institute

Distribution:
1 x copy to be maintained in the concerned Institute, Academic Directorate & Controller
of Examination.
 ANNEX-UG-05

IMPROVEMENT/ REPEAT COURSE FORM

Name: ____________________________Registration No: ___________________

Department: _________________________Institution: _______________________
Program: ________________ Subject: ___________Admission Date: ___________

S. No. Course code Course Title Credit Hrs Core/ Elective Grade Grade Points
1.
2.
3.
4.

GPA Semester-I: ____ GPA Semester-II: ____ GPA Semester-III: ____ GPA Semester-IV: ___CGPA: ___

Current Semester with CGPA ________Chances already availed ________

Course/ code/ title semester in which improvement is desired __________________
Date: __________________ Student’s Signature: _____________
Remarks Head of Department: __________________________________________
Course offer in____________________________
Head of Department Signature: ______ Head of Institute/ Dean: Signature________
Recommended/ Not Recommended
Controller of Examination
Approved/ Not Approved

Dated: _____________ Sign of Controller of Examination:________________

Instruction for Students attending Summer Semester

Students are ONLY allowed to attend the subject in which they have existing ‘F’, ‘D’ & ‘C’
grade. Maximum achievable grade is ‘B’.

Distribution:
 1 x copy to be maintained in the concerned Institute, Academic Directorate &
Controller of Examination.
 ANNEX-UG-06

APPOINTMENT OF SUPERVISOR

Professor __________________________
Department ________________________

Dear Sir/Madam,

The Head of Department of ____________________________ (College/ Institute)

________________ is pleased to appoint you as the Supervisor/ Co-Supervisor for the
following Student:

Student’s Name: ______________________________________________

Registration No: ______________________________________________
Program/ Subject: ______________________________________________

During the period of research work, you are requested to supervise the course work,
synopsis, thesis defense and to send us the progress report on the prescribed form. You
will also be required to be present at the time of thesis defense. Kindly send us your
acceptance in writing or through email_____________________________ (signed
scanned copy), so that we may formally intimate your name to the Academic Directorate,
NUMS.

I hope the student will greatly benefit from your valuable experience towards completing
his/ her degree in time.

Date: ______________ _____________________

(Head of Department)

Countersigned

Dated: _______________
Dean/ Head of Institute

Distribution:
 1 x copy to be maintained in the concerned Institute, Registrar Office/ Academic
Directorate & Controller of Examination.
 ANNEX- UG-07

INSTITUTIONAL REVIEW BOARD APPROVAL LETTER

(UG PROGRAM)
Name: ____________________________Registration No: ___________________
Department: _________________________Institution: ________________________
Subject: _____________________________

Dear _______________________
(Student/ Principal Investigator)

We are pleased to inform you that your proposed study entitled

______________________________________________________________________

______________________________________________________________________

vides your application received on _________ was reviewed on ____________ by

_________IRB. The board has approved/ approved with minor changes in the protocol/

informed consent form vide IRB no___________ date____ for period from ______to

_________.

You are reminded to submit reports in a timely manner as per our IRB policy.

Date: ____________________ _______________________________

Signature of Secretary IRB

Distribution:
 1 x copy to be maintained in the concerned Institute, Registrar Office/ Academic Directorate
& Controller of Examination.
 ANNEX-UG-8

SYNOPSIS EVALUATION REPORT

Name: _______________________Registration No: _________________________

Form ERC-2
Department: __________________Subject: ________________________________
Supervisor: _____________________________ CGPA of Course work: _________
Thesis Topic:
___________________________________________________________________

A-Internal/ External Synopsis Evaluator (30 Marks)

Marks
S. No. Evaluation Criteria Marks Scale (2-10)
obtained
1 Introduction/ Review Poor
1. Introduction
Below Average
2. Literature Review
3. Problem Statements/ Research Average
4. Hypothesis Good
5. Objectives Excellent
2 Research Methodology Poor
1. Description of Sampling
Below Average
2. Study Design
3. Materials and methods Average
4. Statistical Analysis Good
5. Reasons and limitations of Excellent
scientific methods proposed, etc.
3 Feasibility/ Outcome of Study Poor
1. Plan of work
Below Average
2. Practicality
3. Areas of Application Average
4. Relevance to national needs Good
5. Estimated cost/ resources
Excellent

Total Marks (30 Marks) _________% ______Marks

B- Overall Performance/ Defense of Synopsis (20 Marks)
Total Marks Marks
obtained

1. Presentation skills/ slides (5 Marks)

2. Viva/ Q&A session (15 Marks)

Total Marks 20 Marks

Remarks:

______________________________________________________________________

______________________________________________________________________

Part-A (30 Marks) ______Part-B (20 Marks) _______Total (50 Marks) ______

Name of Internal/ External Evaluator: _____________________________

Qualification __________Department: ______________________________

Institute: ______________________________________________________

Date: _________________________ Signature: _______________

Grading Scale:
A performance that meets the minimum criteria but no more. The
2 Poor
candidate demonstrates a very limited degree of knowledge.
A satisfactory performance but with significant shortcomings.
4 Below Average
The candidate demonstrates a limited degree of knowledge.
A good performance in most areas. The candidate demonstrates
6 Average
a reasonable degree of knowledge.
A very good performance. The candidate demonstrates sound
8 Good
knowledge and a very good degree of independent thinking.
An excellent performance, clearly outstanding. The candidate
10 Excellent
demonstrates excellent knowledge

Distribution:
 1 x copy to be maintained in the concerned Institute and Academic Directorate.
 ANNEX-UG-09

THESIS EVALUATION REPORT Form ERC-2

(UG Program)
(To be used by Individual Examiner) Form ERC-2

Student Name: ____________________Registration No: _____________________

Degree enrolled: __________________Department: ________________________
Thesis Topic: __________________________________________________________
Complete the evaluation grid below and comment on the criteria accordingly

Evaluation Criteria Observation/ Comment

Literature Review

Methodology

Statistical analysis

Table/ Graphs
Result and Discussion
Justified analysis and conclusions

Proper referencing
General comments
(Language, Grammar, Style)

Overall recommendations

Thesis Observations
Select ONE

1. The thesis is ready to proceed to the Oral Defense

2. Minor revisions before to proceed to the Oral Defense
3. Major revisions before to proceed to the Oral Defense.

Date: _______________ Evaluator’ Signature: __________________________

NOTE: Report must include a detailed description of the shortcomings that have
informed your decision, including an itemized list of substantive issues you would expect
the student to address in order for the thesis to be approved and proceeded to the Oral
Defense.

Distribution:
 1 x copy to be maintained in the concerned Institute, Academic Directorate & Controller of
Examination.
 ANNEX-GS-10

CHECK LIST FOR AWARD OF DEGREE

Name: ____________________ Registration No: _______________

S. No. List Yes/ No

1. Admission check list, admission response
2. Registration Form (Form No. UG-02), Migration Form & Freezing
of semester (Form No. UG-03)
3. Semester internal assessment form (Form No. UG-04)
4. Repeat/ Improvement of any course (Form No. UG-05)
5. Supervisor Nomination (Form No. UG-06)
6. IRB approval letter (Form No. UG-07)
7. Synopsis Evaluation Report (Form No. UG-08)
8. Thesis evaluation report (Form No. UG-09)

Date: __________ Student Signature: _______ Course Coordinator: _______

Distribution:
 1 x copy to be maintained in the concerned Institute
 1 x copy to be maintained in the Examination Directorate
 1 x copy to be maintained in the Academic Directorate.
 ANNEX-GS-11

CONTROLLER OF EXAMINATIONS NOTIFICATION

Form ERC-2
No. _______ Date: ________

It is notified for the information of all concerned that Mr./ Ms.___________________

Student of ______________________________________of __________________
has completed all the requirements for the award of BS degree in the discipline
__________________________________________as per details given hereunder:

BS Cumulative Result
Registration Scholar’s Father’s Credit Hours Cumulative Grade
No. Name Name Course Research Total Point Average
Work Work (CGPA)

Research Topic:

___________________________________________________________________

___________________________________________________________________

Supervisor Name: ____________________________________________________

Date: _____________ Signed by Controller of Examination

Note: This result is declaration as notice only. Errors and omissions, if any, are subject
to subsequent rectification.

Distribution:
 1 x copy to be maintained in the concerned Institute, Academic Directorate &
Controller of Examination.