SZABMU_PIMS_NAT_Form.pdf

02. Test Type & Program: Fill Only One Box for Desired . Test Type & Program (Mandatory)

To apply for more than test type, please use separate form with separate fee. This form will be considered valid only for the first selected type in the sequence.

Undergraduate Programmes

REGISTRATION FORM

STN STN

Reg. No.To be Filled by NTS

01. Bank Online Deposit of Rs: 900/- from Designated Bank Branches.

Bank Code Deposit Date

*Note: ithout Original Deposit SlipApplication Form will not be entertained w (NTS Copy)

Picture 1

with gum

Paste your recent

passport size color

photograph

Public Sector Medical University Shaheed Zulfiqar Ali Bhutto

Medical UniversityPIMS, G-8/3 Islamabad

01. School of Pharmacy D-Pharm (Doctor of Pharmacy)05 Years Program

i.

Test Type Program (Please mark disciplines only for BS Medical Technology)School of Physical Therapy & Rehabilitation &

02. School of NursingB.Sc Nursing Generic04 Years Programi.

04. College of NursingB.Sc Nursing Post RN02 Years Programi.

05.College of Medical TechnologiesBS Medical Technologies 04 Years Program

Medical Laboratory Technologyi. Medical Imaging Technologyii.

Vision Sciences Technologyiii. Prosthetic and Orthotic Technologyiv.

Dental Technologyv. Cardiovascular Technologyvi.

Anesthesia Technologyvii. Intensive Care Technologyviii.

Operation Theater Technologyix.

3. Desired Test City: Fill Only One Box (Mandatory) (Subject to a minimum of 200 candidates, other wise the candidates will be assigned next nearest test city)

01. 04.02.

05.

03.

06. 07. 08.

Rwp / Isb MultanLahore

Hyderabad

Faisalabad

Karachi QuettaPeshawar

03.School of Physical Therapy & Rehabilitation

Doctor of Physical Therapy (DPT)05 Years Program

BS Speech Language Therapy / Pathalogy04 Years Programi. ii.

All correspondence will be made on this address though courier service or ordinary postal service.

09. Postal Address:

City: District:

(RES.) (Mobile)Mandatory

10. Phone No:

(OFF)City Code - Phone No

11. Academic Information: (Please do not attach copies of your academic certificates at this stage)

Note: If candidate has appeared in F.Sc Examination and waiting for result, hope certificate by head of the institution that he will pass with 60%

Certificate /Degree Name

Year Passing Obtained Marks Board / InstituteDegree Title Specialization / Major Subject

Intermediate(12 Years)

Matric(10 Years)

Total Marks

Picture 2

with Stapler

Affix your recentpassport size color

photograph

Undertaking By The Applicant:

I_____________________________ d/s/w of _________________________do hereby solemnly affirm that I have read and understood the conditions for appearing in the NTS Test and that I have filled the form as per instructions given above and in the event any information contained herein is found to be untrue, I shall be liable to disciplinary action which may result in cancellation of my test.

Date: _____________________ Signature of the Candidate_______________________

Diploma / Certificate

Bachelor(14 Years)

07. Gender: Male08. Date of Birth: otherwise you will be rejected

Write your Correct Date of Birth

D M YD M Y

1 9Female

05. Father’s Name:

06. Candidate CNIC #: Write your own CNIC No. Or B Form No.

04. Name in Full:

Personal Information: Use CAPITAL letters and leave spaces between words.

Diploma / Certificate

13. Total Job Experience as on closing date of applications:

12. Employment Record: (Please do not attach copies of your experience certificates at this stage)

01

02

03

Months Years

Sr #Organization / Employer Name(Please write the most recent first) Job Title

Job DurationWrite only Month & Year

From To

Days

Ø Please fill the Application Form properly with complete and correct information / answers.

Ø Please DO NOT leave any field blank, otherwise your application may not be considered.

Ø Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after admission.

Ø

Ø By Hand submission of Application Form is not allowed.

Ø Mobile Phones are not allowed in Test Center premises.

Ø Use separate envelop and separate application form for each test type you are applying for.

Attach your Two recent Passport Size Photograph, Attested copy of CNIC and Original Bank Deposit Slip (NTS Copy)

General Instructions / Information:

Please Send Application Forms to:HELP LINE:

SZABMU PIMS NAT ( )ProjectNational Testing Service

1-E, Street No. 46, Sector I-8/2, Islamabad.

UANWebsite

: +92-51-844-444-1: www.nts.org.pk

Ø

Ø

Ø

Ø

Application should reach NTS office latest by last date of submission of Application Form.

NTS will not be responsible for late receiving of application through courier / Pakistan Post etc.

thLast date for submission of application form is Monday 5 October, 2015.

thApplications received on or after Tuesday 6 October, 2015 will be rejected.

Non Refundable/ Non Transferable900/-

Non Refundable/ Non Transferable900/-

O N L I N E D E P O S I T S L I P (* Please deposit fee in only one bank & tick the relevant bank)

Building Standards in Educational and Professional Testing

OfficerCashierCashier

A/CNo.

I-8 Markaz Branch Islamabad (0140947)

NTS-Pakistan-Collection 0010008325640018

RemoteBranch:A/CTitle:

(Formely: Allied Bank of Pakistan Limited)Allied Bank Limited

A/CNo.

I-8 Markaz Branch, Islamabad (1501)

NTS-Pakistan 647943831003775

RemoteBranch:

A/CTitle:

Muslim Commercial Bank

A/CNo.

Cantt Br Kashmir Road Rawalpindi (0041)

NTS- Pakistan 217767828

RemoteBranch:

A/CTitle:

A/CNo.

H9 Shalimar Recording Co ISB (1742)

NTS-Pakistan 17427900464503


THE POWER TO LEAD

LTD

Building Standards in Educational and Professional Testing

CashierCashier

CNIC No/B Form No:

FatherName:

Applicant’sName:

AmountRs:

Note: Bank Service Charges Free of Cost


CNIC No/B Form No:

FatherName:

Applicant’sName:

AmountRs:

Amount inword: Rs.

Officer



A/CNo.

I-8 Markaz Branch Islamabad (0140947)

NTS-Pakistan-Collection 0010008325640018


(Formely: Allied Bank of Pakistan Limited)Allied Bank Limited

A/CNo.

I-8 Markaz Branch, Islamabad (1501)

NTS-Pakistan 647943831003775

RemoteBranch:

A/CTitle:

Muslim Commercial Bank

A/CNo.

Cantt Br Kashmir Road Rawalpindi (0041)

NTS- Pakistan 217767828

RemoteBranch:

A/CTitle:

A/CNo.

H9 Shalimar Recording Co ISB (1742)

NTS-Pakistan 17427900464503


THE POWER TO LEAD

LTD





*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip (NTS Copy) along Application Form to NTS Office

Application Form will not be entertained without Original Deposit Slip (NTS Copy)a

*Note: 1. Please Stamp both copies of deposit Slip. 2. The Bank Must Return “NTS Copy” to the Candidate. 3. Deposit Slip will not accepted without Candidate CNIC/ B Form No.

Applicant Signature Applicant Signature

Nine Hundred Rupees Only Nine Hundred Rupees OnlyAmount inword: Rs.

Date:Unique ID:

Branch Code: Branch Name:

Date:Unique ID:

Branch Code: Branch Name:

SZABMU PIMS NAT

Test Type: Test Type:

SZABMU PIMS NAT

Documents

SZABMU_PIMS_NAT_Form.pdf