Filled by NTS
Registration No.
Federal Medical Dental College Islamabad &
Eligibility Criteria:
REGISTRATION FORM
MBBS Admission Test Session 2012
P ro v id e 2 re c e n t b o thp a retopgarateh in p h o to g r a p h c o lu m spd ho
Picture 1 Paste your recent passport size color photograph with gum
Yes Yes No No
A. I have passed my F.Sc or equivalent degree with (Physics, Chemistry & Biology) B. I have secured more than 60% marks in F.Sc or equivalent with (Physics, Chemistry & Biology).
If Yes then Write Your F.Sc Or equivalent degree Total/ Obtained Marks
Total Obtained
If your reply is Yes for A & B above, only then please proceed further. Otherwise you are not eligible to apply.
Bank Online Deposit of Rs: 1200/- from Designated Bank Branches.
Bank Name & Code Deposit Date
*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy) having Bank Stamp on slip.
1. Domicile
1. 2. 3. Punjab
Fill Only One Box (Mandatory)
4. 5. 6.
Sindh Urban Sindh Rural Federal Capital Territory
7. 8.
AJK Gilgit-Baltistan, FATA
Khyber Pukhtoonkhwa Balochistan
Fill Only One Box for Desired Test City (Mandatory) 2. Desired Test (Subject to a minimum of 100 candidates, other wise the candidates will be assigned next nearest test City city)
1. 2. 3.
Islamabad Lahore Karachi
4. 5. 6.
Peshawar Quetta Multan
7. 8. 9.
Faisalabad Muzaffarabad Sukkur
Personal Information: Use CAPITALletters and leave spaces between words.
3. Name in Full: 4. Fathers Name: 5. Candidate CNIC# :
Mandatory (write your own CNIC No also attached the photocopy of your CNIC. Other wise you are not Eligible )
6. Gender:
Female Male
7. Date of Birth: Birth Write your Correct Date of
other wise you will be rejected
1 9
8. Email:
9. Postal Address:
(All correspondence will be made on this address)
District: 10. Phone No:
(OFF)
City:
(RES.) (Mobile)
(City Code - Phone No)
11. Are your Father or Mother Federal Government Employee ?
Yes
No
(Please attached your required 12. Academic Note: 1. NTS to those who Information: will not issue Roll No Slipsdocument) have not given their academic record accordingly.
2. O-Level & A-Level Candidates should convert their Grades into Marks 3. Candidate having Above 60% In F.Sc (higher secondary school) examination or equivalent with (Physics, Chemistry & Biology) From IBCC are eligible.
Year Passing Obtained Marks Total Marks
Certificate / Degree Level
Degree Name & Subject
Institute/Boar d
SSC/ O-Level
(10 Years Degree)
HSSC/ A-Level
(12 Years Degree)
F.Sc (Pre Medical) Equivalent Degree (Physics, Chemistry & With Biology)
Undertaking By The Applicant:
IPicture 2 ____________________________ d/s/w _________________________d of hereby solemnly affirm that I have read and understood the conditions for appearing o _ in theTest and that I have filled the form as per instructions given above and in the event NTS any information contained herein is found to be untrue, I shall be liable to disciplinary action which may result in cancellation of my test.
Paste your recent passport size color photograph with Stapler
P ro v id e 2 re c e n t b o thp a retopgarateh in p h o to g r a p h c o lu m spd ho
Date:
________________
Signature of the Candidate__________________
Attach your SSC/ O-Level , HSSC/ A-Level, Domicile Certificate Original Bank Deposit Slip NTS Copy. . By Hand submission of Application Form is not allowed . Mobile Phones are not allowed in Test Center premises.
, CNIC copy ,Photograph &
Help line:
Phone No. ISB: 051-9258478LHR: 04279 KHI: 02199239258 PES: 09135215013 Website: 9218233 www.nts.org.pk @nts.org.p Einfo mail k
Send Application Forms to:
Manager National Testing Operations 402, Street No. 34, Sector IService Islamabad. 8/2,
