University of Health Sciences Lahore

MDCAT 2019 ONLINE RECHECKING APPLICATION FORM

Online Rechecking Form

Roll No.
Full Name
CNIC
Cell No.
Email ID
Postal Address
Self Calculated Score
UHS Official Score
No. of Responses to be checked
Amount to be Paid	Rs.
Upload Response form Carbon copy (File size should be less than 500 KB)	(.JPG, .PNG)
Upload Official result copy (File size should be less than 500 KB)	(.JPG, .PNG)
Remarks
Refund Details
Applicant's IBAN (Internation Bank Account Number)
Account Title
Bank Name
Branch

Fee Information

Bank Deposit Slip no.:		Fee Submitted (Rs)		Deposit Date:
Upload Bank Deposit slip File size should be less than 500 KB)	(.JPG, .PNG)

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