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PROSPECTUS Bachelor of Science (B.S) in Physiotherapy KMU Institute of Physical Medicine & Rehabilitation KHYBER MEDICAL UNIVERSITY, PESHAWAR KHYBER PAKHTUNKHWA 2011

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Page 1: PROSPECTUS - Khyber Medical · PDF fileFACILITIES ... Conducting examinations and developing valid assessment techniques for the evaluation of ... Allocation of seats a. Open merit

PROSPECTUSBachelor of Science (B.S) in Physiotherapy

KMU Institute of Physical Medicine & RehabilitationKHYBER MEDICAL UNIVERSITY,

PESHAWAR KHYBER PAKHTUNKHWA2011

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PROSPECTUSBachelor of Science (B.S) in Physiotherapy

KMU Institute of Physical Medicine & RehabilitationKHYBER MEDICAL UNIVERSITY,PESHAWAR KHYBER PAKHTUNKHWA

2011

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Khyber Medical University reserves the right to make any amendments in policy, regulations or other affairs related to this program.

Price Rs. 500/-

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Table of Contents

INTRODUCTION: ..................................................................................................................................................................................................... 1

KMU VISION............................................................................................................................................................................................................. 1

KMU MISSION.......................................................................................................................................................................................................... 1

KMU VALUES .......................................................................................................................................................................................................... 2

Director Message ........................................................................................................................................................................................................ 3

ADMISSION POLICY ............................................................................................................................................................................................... 4

1. Selection Criteria:............................................................................................................................................................................................... 4

2. Allocation of seats .............................................................................................................................................................................................. 4

3. Fee Structure ...................................................................................................................................................................................................... 5

SELECTION AND ADMISSION OF APPLICANTS................................................................................................................................................. 5

FEE REFUND POLICY OF KMU.......................................................................................................................................................................... 6

FACILITIES ............................................................................................................................................................................................................... 6

Learning Resource Center (LRC) ............................................................................................................................................................................ 6

AUDITORIUM....................................................................................................................................................................................................... 7

DISCIPLINE RULES AND REGULATIONs ......................................................................................................................................................................... 7

Hostel / Accommodation............................................................................................................................................................................................. 7

EXAMINATIONS ........................................................................................................................................................................................................... 7

1) Method of Examination: ................................................................................................................................................................................... 7

2) Registration ...................................................................................................................................................................................................... 7

3) Medium of instruction and examination shall be English .................................................................................................................................. 7

4) Examination rules and regulations .................................................................................................................................................................... 7

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Teaching Faculty.......................................................................................................................................................................................................... 8

1. Core Faculty:....................................................................................................................................................................................................... 8

2. Management: ..................................................................................................................................................................................................... 8

3. Provincial Faculty:............................................................................................................................................................................................... 8

2. Visiting Faculty of Basic Sciences ...................................................................................................................................................................... 9

3. Visiting Faculty Clinical Sciences ....................................................................................................................................................................... 9

PICTURES OF DIFFERENT ACTIVITIES.............................................................................................................................................................. 10

COURSE OF STUDIES............................................................................................................................................................................................ 12

SCALE OF MARKS FOR THE EXAMINATIONS.................................................................................................................................................. 14

UNDERTAKING/AGREEMENT......................................................................................................................................................................... 17

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FOREWORD

Khyber Medical University was established in January 2007. It prioritized the development of allied health sciences. The establishment

of KMU Institute of Physical Medicine and Rehabilitation (IPM&R) was the first step in fulfilling that mission. In 2009 the first

batch of 25 students was admitted. The classes of B.S Physiotherapy were started in the building of KMU Institute of Public Health

& Social Sciences. Khyber Medical University always desired to find a separate building for this institute. The provincial Health

Department was approached for the allotment of recently vacated building of PIPOS situated in Hayatabad Medical Complex. The

health department very graciously acceded to the demand of KMU and the said building was handed over the KMU for its Institute of

Physical Medicine and Rehabilitation. The personal interest of Secretary Health Dr. Sohail Altaf is highly appreciated in this regard.

IPM & R will be starting the third batch in February 2011. Because of the high demand the seats for the next academic session have

been increased to 30. This was mainly possible because of the availability of space in the new building. Khyber Medical University will

take every step to further improve the quality of education in the institute. Khyber Medical University accepted all changes, tasks with

firm determination and total commitment. I hope the Institute will provide every opportunity to both its students and staff to further

their professional development.

PROF. DR. SHAD MOHAMMADDirector Academics, Admissions and Quality Assurance

Dean Faculty of Nursing and Allied Health SciencesKhyber Medical University

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MESSAGE OF VICE CHANCELLOR

Khyber Medical University believes in developing a multi-dimensional comprehensive health care approach

encompassing all the four elements of health i.e. prevention, promotion, curative intervention and rehabilitation.

We aspire to include a health care team approach at all levels of health care delivery for a comprehensive health

care delivery system.

KMU identified the gaps in our health delivery system and promoted the idea of filling these gaps. Physiotherapy

and physical rehabilitation are a very important components of health which have been neglected so far. Institute of Physiotherapy

and rehabilitation is the pioneer institute, in this vital but uncared for field of health, in the country setting higher standards for

others to emulate.

The institute is housed in a spacious building with all modern amenities- a state-of- art auditorium and learning resource centre.

Emphasis has been on the provision of facilities for hands on training. Efforts are underway to make this as the most well equipped

centre for physiotherapy nationally. The semester based system of education with a modern demanding goal orientated curriculum

ensures high standards. The strength of the institute lies in her well qualified, trained and motivated faculty.

I welcome students for a challenging experience where they will not only be equipped with the latest concepts and modern skills but

also inculcate humane values to make them a better human being.

Prof Dr. Mohammad Hafizullah

Vice ChancellorKhyber Medical University

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IPM & R (KMU) Page 1

KHYBER MEDICAL UNIVERSITY, PESHAWAR

INTRODUCTION:Khyber Medical University is the one the new generation of Pakistan medical universities, established through Khyber Medical University an Act

2006 (KPK Act No. 1 of 2007). The University is envisaged to grow as a modern centre of excellence in the field of Medical Sciences and technology.

Khyber Medical University is committed to the provision of intellectual leadership and development and to emerge as a beacon of light for regional

hub in scientific and technological development in the field of health care.

KMU VISIONWe aspire to raise the status of Khyber Medical University to one of the best national universities in the region - an institution recognized globally

for excellence in learning, research; and supporting a community of health professionals committed to public service; and enabling the students to

attain their true potential in becoming competent, caring, and inquisitive members of the health care team

KMU MISSIONWe hope to achieve our vision by:

Creating learning opportunities for equipping all health care providers with knowledge, skills and attitude to deliver the highest standards of

health care;

Promoting an environment of research and academic freedom informed with the principles of equal opportunity in the pursuit and

application of knowledge, aiming at the highest level of intellectual, educational and research output and the establishment of a learning

organization inculcating the highest of humanitarian values;

Conducting examinations and developing valid assessment techniques for the evaluation of knowledge, skills and attitudes;

Providing a supportive environment to promote an attitude of life-long learning to all health care providers for enhancing their knowledge,

technical capabilities and improving their professional conduct;

Promoting collaboration and partnership with other educational and health care institutions; and

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Advising and influencing the government, the public and the profession on health care issues.

KMU VALUESPersonal honesty, integrity and respect for humanitarian, traditional and cultural values;

Academic excellence and freedom;

Generation, synthesis, application and dissemination of knowledge;

Lifelong learning;

Personal and professional development of faculty and supportive staff;

Mutual respect and collaboration;

Personal, institutional and professional accountability;

Service to local, regional, national and international communities; and

Continuous improvement of our programs through processes of sustainable development. Senate Meeting picture

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Director MessageWelcome to Institute of Physical Medicine and Rehabilitation, Khyber Medical University Physiotherapy is a branch of healthcare science that mainly concentrates on the physical aspects of an individual’shealthcare, by treating their physical disorders. It works towards this by maintenance and rehabilitation of the individual’s physical activity, which is nothing but bringing back the lost activity to near normal perfection. Physiotherapist uses physical agents such as mechanical energy (Exercise), heat energy (infrared radiation therapy, ultra violet radiation therapy) electrical energy (TENS, Electrical Stimulation, interferential therapy, diadymanic current), Sound energy (Ultra sonic therapy) , Electromagnetic energy (Shortwave diathermy, microwave diathermy).Throughout development of the physiotherapy profession, training and techniques have continued to change and improve. Gifted pioneers in the field have contributed richly to the profession’s literature and field organizations. Physiotherapy now commands wide recognition and well-earned respect with many young people expressing interest and making their career in the profession.Physiotherapists can work as self employed professionals, entrepreneurs or for employers in the rehabilitation service system, such as hospitals, Rehabilitation centers, healthcare centers, research, private practices, or with the social services, and in the institutions that care for mentally disabled as well as the special schools for disabled children.Institute of Physical Medicine and Rehabilitation (IPM&R) was established in 2009 by Khyber Medical University which offers four years (Eight Semesters) B.S program in physiotherapy. Before this students of KPK used to get admission in JPMC, Karachi where only four seats were allocated for the whole province. It is the first institute of physiotherapy in this province conducting graduation in physiotherapy. Our institute is well equipped with all facilities. We have enthusiastic, hardworking and sincere faculty which guide students in every aspect.

I feel proud when I see the enthusiasm in our students with a desire to excel in the field of physiotherapy. I am sure that opportunities will come their way from Pakistan and abroad to excel and prove their mettle in the area of rehabilitation and health care.

Muhammad Ibrahim FarooqiDirector/principal,

IPM&R, KMU

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ADMISSION POLICY1. Selection Criteria:

a. Admission will be open to both male and female candidates who have passed the Higher Secondary Certificate Examination (FSc. Pre-medical) or possessing an equivalent qualification from a recognized board and have appeared in the ETEA Entry Test for Medical colleges. The merit for admission will be determined as follows.

Examination Test Weightage Adjusted marks obtained in F.Sc or Equivalent examination 50% ETEA Entry Test marks 40%Marks Obtain in S.S.C examination 10%

Example

Adjusted marks obtained in F.Sc. or equivalent level examination 870/1100 or 79.1% ETEA Entry Test marks 460/800 or 57.5% S.S.C or Equivalent qualification 650/850 or 76.5 %

His/ Her Merit will be calculated as Follows

a. Weightage for F.Sc = 79.1 X 0.5=39.55 b. Weightage for Entry Test = 57.5 X 0.4=23.00c. Weightage for S.S.C=76.5 X 0.1= 7.65

Merit Score of the candidate = a+b+c =39.55+23.00+7.65= 70.2

Note: 10 marks will be deducted from F.Sc marks for each additional attempt

2. Allocation of seatsa. Open merit (KP, FATA and PATA): 24 seats

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These seats are open to applicants possessing valid domicile certificate for KP, FATA and PATA.b. Balochistan: 2 seatc. FATA 1 seatd. Foreign/Afghan: 3 seats

If candidates from Balochistan, FATA and foreign countries do not fill their respective reserved seats, these vacant seats will be converted to open merit seats.

3. Fee Structure

S/No Items Amount 1 Tuition fee Rs 21,000 per semester 2 Admission fee Rs 1,000 per semester3 Computer Fund Rs. 250 per semester4 Library Fund Rs. 250 per semester5 Recreation Fund Rs. 500 per semester6 Laboratory Fund Rs. 1000 per semester7 Examination Fee (Mid term)

(Final term)Rs. 500 per semesterRs. 1500 per semester

8 Security (Refundable) Rs. 1500 Once in program9 Khyber Medical University Registration Fee Rs. 1000 Once in program-

SELECTION AND ADMISSION OF APPLICANTSThe Admission Committee will consist of the following:

1 Director Academics, Admissions and Quality Assurance Chairman2 Director/principal of Institute of Physical Medicine and Rehabilitation Secretary-cum Member3 Chairman Pakistan Institute of Prosthetic and Orthotic Sciences (PIPOS) Member 4. Representative of Health Department KPK Member

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The Chairman of Admission Committee will display the merit list of each category of candidates. Objection, if any, be submitted to the Chairman in writing who will be competent to rectify any error or omission five days before the date of interview. The final merit list will be displayed two days before the date of interview.The right of appeals against the decision of Admission Committee will vest in the Appellate Committee which will consist of the following.

1. Vice Chancellor KMU Chairman2. Registrar KMU Member-cum-Secretary3. Chief Executive Paraplegic Centre Member

All fee and dues of the first semester must be paid within 15 days of grant of admission, otherwise his/her admission will be cancelled and seat will be offered to the next candidate on merit list. For subsequent semesters fee and dues if not paid within 15 days of start of semester a fine of Rs. 100 per day will be imposed. If the student fails to pay his/her fee and dues within 30 days, his/her name will be struck off from the institution.

FEE REFUND POLICY OF KMUIncase of cancellation of admission of 1st semester in Bachelor / Master Level Program, the refund will be made as per policy after deduction given below:a. Student who leaves the Bachelor / Master level program within the stipulated period of admission 5% of whole dues of 1st semester.b. Student who leaves the Bachelor / Master level program within the 7 days of admission 10% of whole due of 1st semester.c. Student who leaves the Bachelor / Master level program from 8 to 14 days of starting of classes 15% of whole dues of 1st semester.d. Student who leaves the Bachelor / Master level program from 15 to 21 days of 20% of whole dues of 1st semester.e. Student who leaves the bachelor / Master level program after 21 days of starting the classes dues will not be refunded under any

circumstances except security.

FACILITIESLearning Resource Center (LRC)IPM&R has a well equipped learning resource center. It has twenty computers which areConnected to internet service. HEC digital library is accessible to all students. It has a largevariety of books related to physiotherapy. LRC can be used for individual reading purposes.Students are facilitated by the Computer Lab Manager for preparing the assignment or any sort of work given by their teachers. LRC is also used for conduction of workshop on research methodology .

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AUDITORIUMThe presence of auditorium which has capacity of eighty five persons, has made IPM&R a busylearning center. Workshops on curriculum development, research methodology, medical writingSPSS are frequently conducted here. Auditorium is well equipped with all the facilities that are needed for workshops and seminars.

Disciplinary rules and regulationsKhyber Medical University Student Conduct Rules shall be applicable.

Hostel / AccommodationNo hostel facilities are available. Student will have to arrange their own accommodation.

EXAMINATIONS1) Method of Examination:

a) There will be continuous assessment. Mid term examination will be conducted by the institute and final examination at the end of the semester will be conducted by Khyber Medical University, Peshawar.

b) Internal evaluation; there is regular assessment on daily basis of the students. This include attendance, class behavior, monthly tests, presentations and examination behavior

c) Those candidates who fail the final semester examination will not be promoted to the next semester.

2) RegistrationStudents will be registered with Khyber Medical University, Peshawar within a week after the admission.

3) Medium of instruction and examination shall be English

4) Examination rules and regulationsThe examination Rules and Regulations of KMU shall be applicable.

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Teaching Faculty1. Core Faculty:

1) Mr. Muhammad Ibrahim Director/Principal

BSPT Physiotherapy (Karachi University), SRPT (UK)

2) Mr. Muhammad Bin Afsar Jan Assistant Professor

BSPT (Pak), MPPS (Pak), MSPT (Aus), MAPA (Australia), MNPA (New Zealand)

3) Mr. Haider Darain Lecturer

BSPT (Karachi University) MSc Health & Physical Education (Karachi University)

4) Mrs. Sajida Mazhar lecturer

BSPT, MSc (Physiotherapy) Karachi University

2. Management:1) Muhammad Farooq (Office Manager)

2) Janas Khan (Computer Lab Manager)

3) Zeeshan Farooq (Office Assistant cum Computer Operator)

3. Provincial Faculty:

a. Staff Physiotherapy, Hayatabad Medical Complex, Peshawar

1) Mahboob Ur Rehman, B.Sc (Physiotherapy) Karachi University, MPPS (Pak), DPA (Peshawar University).

2) Yousaf Ali, BSPT, MPPS (Pak).

b. Staff Physiotherapy, Khyber Teaching Hospital, Peshawar

1) Altaf Ahmad, B.Sc (Physiotherapy) Karachi University, MPPS (Pak),

MSOT (Germany), DEOT (Germany), HMD (England),

DPA (Peshawar University), MISPO (UK)

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c. Staff Physiotherapy, Lady Reading Hospital, Peshawar

1) Muhammad Dawood Farooqi, BSPT, MPPS (Pak), MSPT

2) Sami Ullah, BSPT, MPPS (Pak), M.Sc (Physiology)

3) Muhammad Zahoor BS (PT)

d.Staff of PIPOS

1) Mr. Tajdar Afridi B.Sc Physiotherapy

2) Mr. Javaid Ghani BSPT,

3) Mr. Tahir Mahsood BSPT,

4) Mr. Liaqat Ali malik B.Sc Prosthetic and Orthotic

5) Mr. Saleek Ali Syed B.Sc Prosthetic and Orthotic

e.Staff of Paraplegic Centre

1) Syed Muhammad Ilyas, BSPT

2) Amir Zeb, BSPT

f.Visiting Faculty of Basic Sciences 1) Khyber Medical College, Peshawar.

2) Khyber Girls Medical College, Peshawar.

g.Visiting Faculty Clinical Sciences 1) Postgraduate Medical Institute, Lady Reading Hospital, Peshawaer

2) Khyber Medical College/Khyber Teaching Hospital, Peshawar

3) Postgraduate Medical Institute, Hayatabad Medical Complex, Peshawar

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PICTURES OF DIFFERENT ACTIVITIESInauguration of New building of IPM&R

Trip to Murree:

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Meeting of core faculty Final term Examination

Workshop on curriculum developmentin IPM&R Speech of Director (AA&QA) to students of IPM&R

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COURSE OF STUDIES

The curriculum of Bachelor of Science in Physiotherapy shall extend over 4 years (8 Semester). The course is organized as follows.

Year 1, Semester 1S/No Subject Credit Hours Total

Theory Practical1 English -1 2 22 Islamic Studies/Moral Philosophy 2 23 Anatomy-1 3 3

4 Physiology-1 2 25 Kinesiology 1 2 1 36 Medical Physics-1 2 1 3

7 Computer skills -1 1 1Total 13 3 16

Year 1, Semester 2S/No Subject Credit Hours Total

Theory Practical1 English -2 2 22 Pakistan Studies 2 23 Anatomy-2 2 1 3

4 Physiology-2 3 1 45 Kinesiology -2 2 1 36 Medical Physics-2 2 1 3

7 Computer skills -2 1 1Total 13 5 18

Year 2, Semester 3S/No Subject Credit Hours Total

Theory Practical1 Sociology -1 1 1

2 Biostatistics -1 2 23 Anatomy-3 3 1 44 Physiology-3 3 1 45 Biomechanics-1 3 36 Biochemistry 3 1 4

Total 15 3 18

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Year 2, Semester 4S/No Subject Credit Hours Total

Theory Practical1 Sociology -2 1 12 Biostatistics -2 2 23 Anatomy-4 3 34 Physiology-4 2 1 35 Biomechanics-2 2 1 36 Pharmacology 3 3

Total 13 2 15

Year 3, Semester 5S/No Subject Credit Hours Total

Theory Practical1 Pathology-1 2 22 Community Medicine -1 2 23 Medicine -1 2 24 Surgery-1 2 25 Physiotherapy Treatment, Hydrotherapy, & Clinical Practice -1 3 2 56 Electrotherapy & Actinotherapy -1 3 1 4

Total 14 3 17

Year 3, Semester 6S/No Subject Credit Hours Total

Theory Practical1 Pathology-2 2 22 Community Medicine -2 2 23 Medicine -2 2 24 Surgery-2 2 2

5 Physiotherapy Treatment, Hydrotherapy, & Clinical Practice -2 4 2 66 Electrotherapy & Actinotherapy -2 2 1 3

Total 14 3 17

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Year 4, Semester 7S/No Subject Credit Hours Total

Theory Practical1 Research Methodology -1 2 1 22 Ethics & Administration -1 1 1

3 Medicine -3 2 1 34 Surgery-3 2 1 35 Physiotherapy Treatment, Hydrotherapy, & Clinical Practice -3 3 2 5

6 Electrotherapy & Actinotherapy -3 2 1 3Total 12 6 18

Year 4, Semester 8S/No Subject Credit Hours Total

Theory Practical1 Research Methodology -2 2 1 3

2 Ethics & Administration -2 1 13 Medicine -4 2 24 Surgery-4 2 2

5 Physiotherapy Treatment, Hydrotherapy, & Clinical Practice -4 3 2 56 Electrotherapy & Actinotherapy -4 2 2 5

Total 12 5 17

SCALE OF MARKS FOR THE EXAMINATIONS

Year 1, Semester -1S/No Examination Written paper Periodical test in paper Total

1 English – paper –1 50 --- 502 Islamic studies /moral philosophy-2 50 --- 503 Anatomy – 1-paper-3 75 25 1004 Physiology –1-paper-4 75 25 1005 Kinesiology–1 –paper-5 75 25 1006 Medical physics -1-paper-6 75 25 1007 Computer Skills - 50 50

Total 400 150 550

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Year 1, semester 2S/No Examination Written paper Periodical test in paper Total

1 English – paper – 1 50 --- 502 Pakistan studies-paper-2 50 --- 503 Anatomy – 2-paper-3 75 25 1004 Physiology – 2-paper-4 75 25 1005 Kinesiology -2 paper-5 75 25 1006 Medical physics -2-paper-6 75 25 1007 Computer Skills - 50 50

Total 400 150 550

Year 2, Semester -3S/No Examination Written paper Periodical test in paper Total

1 Sociology-1 paper-1 50 --- 502 Biostatistics –1 paper-2 50 --- 503 Anatomy-3-paper-3 75 25 1004 Physiology-3-paper-4 75 25 1005 Biomechanics-1-paper-5 75 --- 756 Biochemistry-paper-6 75 --- 75

Total 400 50 450

Year 2, Semester -4S/No Examination Written paper Periodical test in paper Total

1 Sociology-2 Paper 1 50 --- 502 Biostatistics-2 paper 2 50 --- 503 Anatomy-3 paper-3 75 25 1004 Physiology-3-paper-4 75 25 1005 Biomechanics-1-paper-5 75 25 1006 Pharmacology-paper-6 100 --- 100

Total 425 75 500

Year 3, Semester 5S/No Examination Written paper Periodical test in paper Total

1 Pathology-1 paper-1 502 Community medicine-1 paper-2 503 Medicine-1-paper-3 504 Surgery-1-paper-4 505 Physiotherapy treatment hydrotherapy & clinical practice-1-paper-5 75 256 Electrotherapy & actinotherapy-1-paper-6 75 25

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Total 350 50 400

Year 3, Semester 6S/No Examination Written paper Periodical test in paper Total

1 Pathology-2 paper-1 50 --- 502 Community medicine-2 paper-2 50 --- 503 Medicine-2-paper-3 50 --- 504 Surgery-2-paper-4 50 --- 505 Physiotherapy treatment hydrotherapy & clinical practice-2-paper-5 75 25 1006 Electrotherapy & actinotherapy-2-paper-6 75 25 100

Total 350 50 400

Year 4, Semester 7S/No Examination Written paper Periodical test in paper Total

1 Research methodology-1 paper-1 50 --- 502 Ethics and administration -1 paper-2 50 --- 503 Medicine – 3-paper-3 50 --- 504 Surgery – 3-paper-4 50 --- 505 Physiotherapy treatment hydrotherapy & clinical practice –3 paper-5 75 25 1006 Electrotherapy & actinotherapy-3-paper-6 75 25 100

Total 350 50 400

Year 4, Semester 8S/No Examination Written paper Periodical test in paper Total

1 Research methodology-2 paper-1 50 --- 502 Ethics and administration -2 paper-2 50 --- 503 Medicine – 4-paper-3 50 --- 504 Surgery – 4-paper-4 50 --- 505 Physiotherapy treatment hydrotherapy & clinical practice –4 paper-5 75 25 1006 Electrotherapy & actinotherapy-4-paper-6 75 25 100

Total 350 50 400

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DISCIPLINEEvery student and the parent/guardian of the students at the time of admission into the Institute shall give the following undertaking:-

UNDERTAKING/AGREEMENT(To be filled by the candidate on Judicial Bond of Rs. 20/- and duly attested by the Political Agent/First Class Magistrate).

1. Mr. /Miss ___________________________________________________son/daughter of ________________________________________________resident of ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________do hereby solemnly undertake to abide by the following:-i) That I have read the Prospectus of KMU Institute of Physical Medicine and Rehabilitation, Peshawar KPK and hereby agree to conform to all provisions of the statutes of

the Institute or statutes and rules as may hereafter be framed by the appropriate authorities.

ii) That the information furnished in, and document attached with the application form are correct, and I fully understand that at any time during course of study, if it is found that any information is in-correct or any documents produced at the time of admission are false, which would have rendered me ineligible for admission under the rules, my name shall immediately be struck off from the Institute roll.

iii) That I shall, in case my name is struck off under clause (ii) above not be entitled to claim refund of any fee paid by me. In addition I shall pay to the Principal as liquidated damages at the rate of Rs. 1,00,000 (one Lac) per year of my studies in Institutes.

iv) That I shall have minimum attendance of 75 percent, diligently apply myself to acquire and develop the skill necessary for the practice and advancement of my study in order to qualify for examination and will not be promoted to the next higher class unless I have cleared all the subjects.

v) That I shall maintain identity as a student of Institute by wearing Institute uniform. I shall participate fully whole-heartedly in games and extra curricular activities.

vi) That hostel accommodation will be provided subject to availability. In case of non-availability of hostel accommodation, I will not ask for any accommodation.

vii) That I will not indulge in politics of any type and will not be a member of any political party/ organization/students Federation and holding a gathering, meeting or taking out procession in any part of Campus, I understand that my failure to observe this clause of undertaking would result in cancellation of my admission/expulsion from the Institute, and that the decision of the Principal in this regard will not be challenged in any Court of Law except the Supreme Court of Pakistan.

viii) That I shall never use violence, threat of violence and pressure in any dispute with others, all means and methods shall only be logic, persuasion, petition, appeal, revision, review and other legal and peaceful method for settlement of differences and disputes.

ix) That in any disputes with students, teachers and employees of the Institute I shall accept the judgment of the committee constituted by the principal for decision of settlement of the wrong doers.

x) Further, I do hereby solemnly undertake to refrain from:-

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a) Doing anything which may cause injury or insult to head, teacher, officers and other staff of institution.

b) Holding a gathering meeting or taking out procession in any part of Campus other than areas specified for the purpose.

c) All kinds of unfair means in examination.

d) Allowing or abetting the entry to the premises of the Institute of expelled students, anti-social elements or other whose presence in the Campus could cause conflict amongst the students.

e) Bringing into the Campus, consuming or encouraging consumption of alcoholic products, drugs and narcotics and indulging in acts of moral turpitude.

f) Bringing or keeping any type of weapons within the University/Institute premises.

g) Using or occupying any room or part of any building of the Institution without lawful authority.

h) Subletting my hostel room to unauthorized persons.

i) Damaging any University/Institute property including building, equipment vehicles etc. in any manner.

j) Indulging in any violent or any other unsuitable activities even outside the Institute which may bring bad name to the Institute.

k) From all such acts and deeds as might bring disgrace and bad name to the Institute.

xi) In case I am reported to be guilty/involved in any of the aforesaid activities during my stay in the medical Institute, the Institute authorities can rusticate me from the

Institute temporarily or expel me permanently I will not try to create law and orders situation or instigate the students of the Institute or of any other institution against

the action taken by the Institute and neither I will go to any Court of Law. In case of my expulsion from Institute I shall pay to the Principal as liquidated damages at the

rate of Rs. 1,00,000 (one Lac) per year of my study in the Institute.

xii) If it is reported that I have not honored the decision of the Institute authorities as described above, I shall be liable to pay Rs. 2,00,000/- (Two Lac) per year of my study in

the Institute as damages to Khyber Medical University.

xiii) In case there is any dispute between me on one hand and the administration of the Institute on the other hand regarding my involvement in a disciplinary or political

matter or regarding the imposition of any penalty or damages on me, the matter shall be referred to the Principal, as the sole arbitrator and his decision in such capacity

shall be final and shall to be called in question in any court of law.

xiv) That I will abide by the decision of the Institute Authorities in case I am found guilty of undisciplined, defamation, disrespect of the staff and other anti-institutional

activities.

(Signature of the student) Dated____________________________ Full Name: __________________________________________

Father’s Name: ___________________________________________

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IPM & R (KMU) Page 19

N. I. C. _______________________________________________

Permanent Address: _____________________________________________

TO BE FILLED BY FATHER/GUARDIAN OF THE CANDIDATE

I _______________________________son/daughter/wife of ________ ________________________and Mother/Father/Guardian of

__________________________________________hereby fully endorse the undertaking given by my son/daughter/ward and assure that he/she will abide by this undertaking

during his/her stay in the Institute.

i) I also make myself liable to pay Rs. 1,00,000 (one Lac) per year of his/her study in the Institute in case of any breach of the above mentioned undertaking by my

son/daughter/ward Mr/Miss __________________________________ .

ii) I _______________________________ Father/Mother/Guardian of Mr./Miss _________________ ____________ __________ assure that my son/daughter/ward will

not indulge in politics of any type and will not be a member of any political party/ organization/students Federation nor will he/she attend any meeting of such result into

his/her expulsion from the Institute, and that the decision of the Principal in this regard will be find.

Witness-1 ____________________________

Signature) Deponent Signature of the Father/Guardian of the student

Name________________________________ Full Name ________________________________

Father’s Name ________________________ Father’s Name ____________________________

Nat. Identity Card No. __________________ Nat. Identity Card No. ______________________

Temporary Address ____________________ Temporary Address ________________________

____________________________________ ____________________________________________

Permanent Address ____________________ Permanent Address ________________________

____________________________________ __________________________________________

Witness-2 ____________________________

(Signature)

Name________________________________ Nat. Identity Car No.________________________

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IPM & R (KMU) Page 20

Father’s Name ________________________ Temporary Address:__________________________________________________________

Permanent Address __________

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IPM & R (KMU)

Serial No. _________

APPLICATION FORM FOR ADMISSION IN BS PHYSIOTHERAPY

SESSION 2011(The form should be filled in BLOCK letters)

Note: Please read the instructions given in the admission policy in the prospectus and on the reverse of application form before filling this form

Please tick (√ ) in the relevant box from where you are applying for?

KP/ FATA/PATA Baluchistan: Afghan/Foreign:

Name:____________________________________________________ ________________________________________

(As per SSC or equivalent certificate in BLOCK letters)

Father’s /Husband’s Name:____________________________________________________________________________

(As per SSC or equivalent certificate in BLOCK letters)

Date of birth (yyyy/mm/dd):___________________________Gender: M F Married/Unmarried

Place of birth:___________________________ Domicile:___________________ Nationality: ____________________

Mailing address:____________________________________________________________________________________

__________________________________________________________________________________________________

Phone: (Res)____________________ (Cell)__________________ Email:______________________________________

Permanent address:__________________________________________________________________________________

__________________________________________________________________________________________________

In case of emergency please contact

Name______________________________Address:________________________________________________________

__________________________________________________________________ Phone:__________________________

Have you entered in medical college entry test before? Yes / No If yes, record of entrance tests:

Educational Record

Qualification Year of passing

Annual/Suppl.

Exam.Roll No

Marks obtained

Total mark Attempts Name of

boardSSC (Science)/equivalentF.Sc(premedical)

For office Use only FOR OFFICE USE ONLYRemarks / Requirements

Year Entrance test ID Results

Paste three photographs

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IPM & R (KMU)

Receipt No. ___________________ Dated: ________ _________________ Checked by Member of Scrutiny Committee: ______________________ Chairman Scrutiny Committee:

Father's Income and Occupation:______________________________________________________________________

Guardian's Name: __________________________________________ Income & Occupation:________ _____________

Exact Relationship with the Guardian:_________ __________________________________________________________

Were you ever involved in criminal proceeding in a Court of Law? If Yes, attach brief account: _____________________

__________________________________________________________________________________________________

Name of School from where SSC passed: __________ _____________________________________________________

Name of college from where F.Sc Passed : ______________________________________________________________

Certified that facts produced are correct to the best of my knowledge

Signature of the Applicant’s Father/Guardian Signature of the Applicant

NIC No:_________________________________. NIC No: _______________________________

ATTESTED DOCUMENTS REQUIRED WITH APPLICATION FORMThe following documents must be attached with the application form in the following sequence:Applicants must attach with application form the following attested Photostat copies of the below mentioned Certificates and documents in the following sequence. The documents & certificates must be attested by Gazetted Officer/ Nazim. The stamp of the officer must bear full name, designation and current place of duty

Note: Check ( ) the relevant box for the attached documents.

� Two copies of detailed Marks Certificate of examination on the basis of which admission is sought (F.Sc or equivalent).

� An equivalence certificate from the Inter-Board Committee of Chairmen, Islamabad, if the qualifying certificate is from an Institute abroad.

� A copy of Secondary School Certificate Examination (Science /equivalent).

� Two copies of domicile certificate (domicile certificate submitted with the entry test form will not be changed).

� A copy of Computerised National Identity Card of the candidate, copied on Full size paper

� A copy of computerized National Identity Card of the father of the applicant copied on Full size paper, if the father is not alive, a copy of the National Identity Card of the mother & guardian.

� A copy of attempt certificate from the concerned BISE, if the period between SSC and F.Sc is more than two sessions.

� Undertaking on judicial stamp paper of Rs. 20/- duly attested by notary public /Political Agent as per specimen given in the prospectus/admission.

� Three passport size coloured photographs of the applicant attested on the back.

IMPORTANT NOTES/INSTRUCTIONS

1. Photostate of Admission Form is not accepted.2. Candidates not having domicile of KPK/FATA are not eligible to apply for admission on KPK/FATA seats.3. All applicants must appropriately fill and sign the admission form and undertaking. Incomplete/not properly filled form in any respect

will be rejected. Avoid rewriting/cutting, while filling the form.4. The undertaking/agreement must be filled in by the candidate on Judicial Bond of Rs. 20/- and should be duly attested by the Political

Agent/First Class Magistrate and attached with the application form. The specimen proforma for undertaking is attached with the application form.

5. Applications should reach office of the Principal/Director on or before the closing date and time. Applications received after the due date and time will not be entertained for admission. No forms will be accepted in mail/courier.

6. Applicant must study the Admission Policy of Khyber Medical University in order to understand the Rules.7. The domicile, DMC of F.Sc. (Pre-Medical)/Equivalent Examination, SSC and other certificates once submitted with the admission form

cannot be changed and shall be considered as final. Revision of result or improvement of marks by the board/IBCC after the finalization of merit list shall not affect the merit list of admission of current year in any way. All the above-mentioned certificates issued after the dates fixed for receipt of application forms shall not be entertained.

8. Application forms with any false statement by the candidate will be rejected9. If any certificate submitted by the candidate is found false, or forged during his/her study period his/her admission shall be cancelled

forthwith and he/she shall be blacklisted for admission to any professional colleges in KPK. Further legal action can be taken against the student under the existing criminal laws.