BS Hons Online Admission Form

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Degree Programs

Admission Requirements

ADMISSION FORM FOR BS PROGRAMMES

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Degree Programs

Please Tick (✓) only one program.

BS Surgical Technology (4 Yrs)BS Dental Technology (4 Yrs)Anesthesia Technology (4 Yrs)Medical Lab Technology (MLT)(4 Yrs)Medical Imaging Technology (MIT)(4 Yrs)

Personal Data: (Fill in Capital Letters)

Applicant's Name: *

Father's Name: *

Date of Birth: *

Gender: *

Marital Status: *

Present Address:

Permanent Address:

District:

Country:

Phone No. (Res):

Cell No.: *

Email:

Candidate's Nationality:

Father / Husband / Guardian Name:

Father's / Husband's Profession:

Father / Husband / Guardian Contact No.:

In Case of Emergency, Please Contact:

Name:

Address:

Phone No. (Res):

Cell No.:

Educational Information

Degree / Certificate	Passing Year	Name of Board	Institution Name	Annual / Supply	Marks Obtained	Total Marks	Exam Roll No	%age
SSC / Matric
HSSC / FSc
Other

Marks Obtained in ETEA:

Health & Legal Information

Do you have any Specific Illness or Disability?

YesNo

If Yes, then specify:

Were you ever convicted in criminal proceedings in a Court of Law? If yes, attach brief detail of the case.

Declaration

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

I agree that all information provided is correct and accurate to the best of my knowledge.

CNIC of Father / Guardian: *

CNIC of Applicant: *

Documents Checklist

Attach attested photocopies of the following documents. Please check (✓) the relevant box:

Three passport size photographs with blue background (attested on back)Two copies of Detailed Marks Certificate (F.Sc or equivalent)Equivalency certificate (if qualifying certificate is from a foreign country)Copy of Secondary School Certificate Examination (Science)Two copies of Domicile Certificate / CNIC (copied on full size paper)Copy of CNIC of Father / Guardian / Mother (if father is not alive)Attempt certificate from Concerned BISE (if gap between SSC and FSc is more than two sessions)Undertaking on judicial stamp paper Rs. 30/- attested by Notary Public (only after getting admission)Financial Statement

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