APPLICATION FORM FOR KMC DIRECTORY

You can register and update your profile by sending us the following details to nice_khan44@yahoo.com.

You will be added after confirmation from the administration

• Year of Graduation:

• PMDC Registration

            Number:                

• Name:                      

• Qualification:           

• City:                         

• Country:                    

• Present

           Appointment:          

• Specialty:                

• Mailing Address:

• Permanent Address:

• Phone Office:         

• Phone Residence:  

• Phone Clinic:          

• Phone Mobile:        

• Fax:                         

• Email Address:       

• Old (at time of admission at KMC) Picture

• Recent Picture             

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