Form Registration

Course Enrollment Form

Important Message

Good day,
I hope this message finds you well.
We are pleased to inform you about the MRCEM programs offered at our institute. Kindly let us know which program you are interested in:

MRCEM PRIMARY

Fees: Rs.15,000/-
Program Date: 10th June to 10th August,2025

MRCEM SBA

Fees: Rs.10,000/- (Monthly)
Program Date: 8th May – 8th September 2025

MRCEM OSCE

Fees: Rs.35,000/-
Program Date: 21st June – 2nd August 2025

For candidates wishing to enroll, please make the payment to the following bank account:

Bank Name: United Bank Limited (UBL)
Branch: Karimabad
Account Title: EM Academy Pvt Ltd
IBAN number: PK62UNIL0109000327031778

Once the payment has been made, kindly share the screenshot of the transaction for confirmation.

Looking forward to your response and excited to have you onboard!

Regards
Muhammad Adnan Memon
Admin
Pakistan MRCEM Academy

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Students Name

First

Last

CNIC#

Student Email

Name Email Module

Year of Graduation

Phone

Place of Work

Programme Interested in

Gender

Male
Female

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

BANK ACCOUNT DETAILS:
Bank Name: United Bank Limited (UBL)
Account Title: EM Academy Pvt Ltd
IBAN number: PK62UNIL0109000327031778

Payment Screenshot

Click or drag a file to this area to upload.