Reg. No.
REGISTRATION FORM
NTS
To be Filled by NTS
Federal Medical &
Dental College Islamabad
Picture 1
Paste your recent
passport size color
photograph with gum
Shaheed Zulfiqar Ali Bhutto Medical University
PIMS, G-8/3, Islamabad
MBBS Admission Test
Session 2015-16
01. Bank Online Deposit of Rs: 700/- from Designated Bank Branches.
Deposit Date
Bank Code
*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy)
02. 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.
Islamabad / Rwp
02.
Lahore
03.
Multan
04.
Faisalabad
05.
Bahawalpur
06.
Karachi
07.
Hyderabad
08.
Sukkur
09.
Abbottabad
10.
Peshawar
11.
D.I. Khan
12.
Quetta
03. Province of Domicile: Fill Only One Box for Desired Province Domicile. (Mandatory)
01.
Federal Capital Territory
02.
Punjab
03.
Khyber Pakhtunkhwa
04.
Balochistan
05.
Sindh (Urban)
06.
Sindh (Rural)
07.
AJK
08.
Gilgit Baltistan
09.
FATA
Personal Information: Use CAPITAL letters and leave spaces between words.
04. Name in Full:
05. Fathers Name:
06. Candidate CNIC #:
Write your own CNIC No. Or B Form No.
07. Gender:
Male
08. Date of Birth:
Female
Write your Correct Date of Birth
otherwise you will be rejected
All correspondence will be made on this address though courier service or ordinary postal service.
10. Phone No: (OFF)
District:
(RES.)
(Mobile)
City Code - Phone No
11. Is your Father or Mother Federal Government Employee?
Mandatory
Yes
1 9
09. Postal Address:
City:
No
12. Academic Information:
(Please do not attach copies of your academic certificates at this stage)
Note: 1. NTS will not issue Roll No Slips to those who have not filled in their academic record properly.
2. Candidate should convert their grades into marks. (O Level / A Level or any other degree having grade).
3. Write exact degree name & major subject mention in certificate / transcript.
Certificate /
Degree Name
Degree Title
Specialization / Major Subject
Year Passing
Obtained Marks / CGPA
Total Marks / CGPA
SSC/ O-Level
(10 Years Degree)
HSSC/ A-Level
(12 Years Degree)
Undertaking By The Applicant:
I_____________________________ d/s/w of _________________________do hereby
solemnly affirm that I have read and understood the instructions and conditions for
appearing in the NTS Test and that I have filled-up the application form as per instructions
given below, and in the event of any information contained herein is found at any stage to
be missing, untrue, false or forged, I shall be liable to legal action either by NTS or the
Partner Organization and also cancellation of my candidature and suitability for admission
at any stage even after enrolment.
Date: ________________
Signature of the Candidate__________________
Picture 2
Affix your
2 recent
passport size
color
photograph
with Stapler
Check List:
Original Bank Deposit Slip (NTS Copy)
Attested copy of Matriculation Certificate / Result Card or Equivalent
Attested copy of HSSC ([Link] Pre-Medical) or Equivalent
Attested copy of Domicile Certificate
Three recent Passport Size Photographs (1 attested on the front and other 2 on the back)
General Instructions / Information:
By Hand submission of Application Form is not allowed.
Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.
th
Last date for submission of application form is Monday 14 September, 2015.
th
Applications received on or after Tuesday 15 September, 2015 will be rejected.
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.
HELP LINE:
UAN
: +92-51-844-444-1
Website : [Link]
Please Send Application Forms to:
National Testing Service
FMDC (Project)
1-E, Street No. 46, Sector I-8/2,
Islamabad.
Building Standards in Educational and Professional Testing
Building Standards in Educational and Professional Testing
Federal Medical & Dental College Islamabad
Federal Medical & Dental College Islamabad
Date:
Unique ID:
Branch Code:
Date:
Unique ID:
Branch Name:
Branch Code:
Branch Name:
ONLINE DEPOSIT SLIP
(* Please deposit fee in only one bank & tick the relevant bank)
Muslim Commercial Bank
Allied Bank Limited
Muslim Commercial Bank
Allied Bank Limited
(Formely: Allied Bank of Pakistan Limited)
(Formely: Allied Bank of Pakistan Limited)
Remote
I-8 Markaz Branch Islamabad (0140947)
Branch:
A/C
A/C
Title: NTS-Pakistan-Collection No. 0010008325640018
Remote
Branch:
A/C
Title:
I-8 Markaz Branch, Islamabad (1501)
A/C
No.
Remote
I-8 Markaz Branch Islamabad (0140947)
Branch:
A/C
A/C
Title: NTS-Pakistan-Collection No. 0010008325640018
Remote
Branch:
A/C
Title:
I-8 Markaz Branch, Islamabad (1501)
Note: Bank Service Charges Free of Cost
A/C
647943831003775
No.
Note: Bank Service Charges Free of Cost
Remote H9 Shalimar Recording Co ISB (1742)
Branch:
A/C
A/C
No. 17427900464503
Title: NTS-Pakistan
Remote
Branch:
A/C
Title:
Remote H9 Shalimar Recording Co ISB (1742)
Branch:
A/C
A/C
No. 17427900464503
Title: NTS-Pakistan
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
647943831003775
Note: Bank Service Charges Free of Cost
Remote
Branch:
A/C
Title:
NTS-Pakistan
NTS-Pakistan
LTD
LTD
THE POWER TO LEAD
Cantt Br Kashmir Road Rawalpindi (0041)
NTS- Pakistan
A/C
No.
217767828
Note: Bank Service Charges Free of Cost
THE POWER TO LEAD
*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original
Deposit Slip (NTS Copy) along Application Form to NTS Office
a
Application Form will not be entertained without Original Deposit Slip (NTS Copy)
Cantt Br Kashmir Road Rawalpindi (0041)
NTS- Pakistan
Father
Name:
Father
Name:
CNIC No/
B Form No:
CNIC No/
B Form No:
Applicant Signature
Amount in
word: Rs.
Seven Hundred Rupees only
Amount
Rs:
Non Refundable/ Non Transferable
Cashier
Officer
Note: Bank Service Charges Free of Cost
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.
Applicants
Name:
700/-
217767828
*Note:
Applicants
Name:
Amount
Rs:
A/C
No.
700/-
Applicant Signature
Amount in
word: Rs.
Seven Hundred Rupees only
Non Refundable/ Non Transferable
Cashier
Officer
