DOMS Programme Application | Al-Shifa Trust Eye Hospital

Bio-Data & Qualifications

MBBS Completion Date *

MBBS College & City *

Additional Qualification (or NIL)

Full Name *

Father / Husband Name *

CNIC No. *

Date of Birth *

Age (auto)

Marital Status *

Nationality *

Domicile / Province *

Present District *

PMDC Registration No. *

Mobile No. *

Email *

Present Address *

Permanent Address (optional)

Presently employed?

Academic Record & Experience

Ophthalmology Experience (min. 1 year) *

House Job Details & Specialties *

Conference Presentations (Post-Grad.) - optional

Publications in HEC/PMDC recognized journals - optional

Publications in other journals - optional

Academic Distinctions / Medals / Scholarships

If any Disciplinary/Court action taken against you

If you enter a number above 0 for presentations or publications, an upload box will appear in the next step.

Require hostel accommodation at Al-Shifa Hospital (subject to availability)

Documents & Fee Proof

COMPULSORY

Upload Fee Voucher Slip (Rs. 2,000/-) *

Askari Bank Limited (AKBL) Payment Details

Deposit Rs. 2,000/- application fee via Mobile Banking / Online Transfer / ATM / Bank Draft

Bank NameAskari Bank Limited (AKBL)

Account Title (A/C Title)AL-SHIFA TRUST - PAKISTAN INSTITUTE OF OPHTHALMOLOGY

Account Number (A/C No) 01811650000246

IBAN Number PK88ASCM0001811650000246

Scan to Pay (Rs. 2,000)

Scan this QR code from your mobile banking app, pay Rs. 2,000/-, then upload the payment receipt as a PDF.

Photo: JPG only (max 1 MB). All other documents: PDF only (CNIC max 1 MB, others max 5 MB). Only have a photo of a document? Convert it to PDF with a phone scanner app (e.g. Adobe Scan, CamScanner) or "Print → Save as PDF".

Recent Passport Size Photo *

Max 1 MB · JPG

CNIC Copy (front & back in one PDF) *

Max 1 MB · PDF

MBBS Degree & Transcript *

Max 5 MB · PDF

House Job Certificate *

Max 5 MB · PDF

PMDC Registration Certificate *

Max 5 MB · PDF

Domicile Certificate *

Max 5 MB · PDF

NOC / Experience Certificates

Max 5 MB · PDF

Review & Submit

I solemnly declare that all information and documents provided are true and correct. I understand that false information will lead to cancellation of my application and admission. Note: No Documents/certificates will be accepted after the last date of submission of this application.