Post on 03-Feb-2016
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
RemoteBranch:A/CTitle:
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
Note: Bank Service Charges Free of Cost
CNIC No/B Form No:
FatherName:
Applicant’sName:
AmountRs:
Amount inword: Rs.
Officer
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
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
RemoteBranch:A/CTitle:
THE POWER TO LEAD
LTD
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
*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