Admission Form Student's Name Father's Name CNIC Number (without dashes) SEX MALE FEMALE Date of Birth AGE Religion Status Married Un Married Blood Group A+VE A-VE B+VE B-VE O+VE O-VE AB+VE AB-VE Father Occupation Mobile No What's App Number Email District Division Province Punjab KPK Sindh Baluchistan Islamabad Azad Kashmir Gilgit Address Diploma/Course/Degree FSc Dispenser FSc Medical Laboratory Technician FSc Radiography & Imaging Technician FSc Operation Theater Technician FSc Physiotherapy Technician FSc Ophthalmic Technician FSc Cardiac Technician FSc Dental Hygienist FSc Nursing Public Health Technician Renal Dialysis Technician Anesthesia Technician Endoscopy Technician Centralized Sterilization System (CSSD) Mortuary Assistant Core Course Dental Technician Pharmacy Technician Lady Heath-Visitor (LHV) Community Midwives (CMW) Certified Nursing Assistant (CNA) Doctor Of Homeopathy DHMS (4Years) ADP MLT (2YEAR) ADP RIT (2YEAR) ADP SURGICAL/OTT (2YEAR) BS NURSING (BSN 4YEARS) BS MLT (4YEARS) BS RIT (4YEARS) BS SURGICAL/OTT (4YEARS) BS ANESTHESIA (4YEARS) Bs Dailysis (4YEARS) Doctor of Physical Therapy (DPT 5YEARS) ULTRASOUND Course 3Months ULTRASOUND Course 1Month Board PUNJAB MEDICAL FACULTY KPK MEDICAL FACULTY SINDH MEDICAL FACULTY BALOCHISTAN MEDICAL FACULTY Nursing Examination board PUNJAB Nursing Examination board KPK Nursing Examination board SINDH Nursing Examination board BALOCHISTAN PHARMACY CONCIL PUNJAB PHARMACY CONCIL KPK PHARMACY CONCIL SINDH PHARMACY CONCIL BALOCHISTAN PHARMACY CONCIL Gilgit-Baltistan Federal Board of Intermediate &Secondary Education (FBISE) Islamabad Board of Intermediate & Secondary Education, Lahore National Council for Homoeopathy Pakistan Nursing and Midwifery Council (PNMC) ISLAMABAD ALLIED HEALTH PROFESSIONALS COUNCIL (AHPC) ISLAMABAD Passport Size Blue/White Background Picture Matric Result Card/Certificate Student's CNIC Front Side/ B-form Student's CNIC back Side DECLEARATION I hereby, declearing that I will obey all the rules and regulations of the institution and be fully responsible for violating the rules. Submit
