REGISTRATION FORM Reg. No.

To be Filled by NTS

Federal Medical & Picture 1

Dental College Islamabad Paste your recent
NTS Shaheed Zulfiqar Ali Bhutto Medical University
passport size color
photograph with gum
PIMS, G-8/3, Islamabad
MBBS Admission Test
Session 2015-16

01. Bank Online Deposit of Rs: 700/- from Designated Bank Branches.
Bank Code Deposit Date

*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. Peshawar 10. D.I. Khan 11. 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.

08. Date of Birth: D D M M Y Y

07. Gender: Male Female Write your Correct Date of Birth
otherwise you will be rejected 1 9
09. Postal Address:
All correspondence will be made on this address though courier service or ordinary postal service.

City: District:

10. Phone No: (OFF) (RES.) (Mobile)

City Code - Phone No Mandatory

11. Is your Father or Mother Federal Government Employee? Yes 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 Title Specialization / Major Subject Year Passing Obtained Marks / CGPA Total Marks / CGPA
Degree Name

SSC/ O-Level
(10 Years Degree)

HSSC/ A-Level
(12 Years Degree)

Undertaking By The Applicant:

I_____________________________ d/s/w of _________________________do hereby
Picture 2
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 Affix your
given below, and in the event of any information contained herein is found at any stage to 2 recent
be missing, untrue, false or forged, I shall be liable to legal action either by NTS or the passport size
Partner Organization and also cancellation of my candidature and suitability for admission
at any stage even after enrolment. color
photograph
with Stapler
Date: ________________ Signature of the Candidate__________________

Check List:
Original Bank Deposit Slip (NTS Copy)

Attested copy of Matriculation Certificate / Result Card or Equivalent

Attested copy of HSSC (F.Sc 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.
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Last date for submission of application form is Monday 14 September, 2015.

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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.

Please Send Application Forms to:

HELP LINE:
National Testing Service
UAN : +92-51-844-444-1
Website : www.nts.org.pk 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

Unique ID: Date: Unique ID: Date:

Branch Code: Branch Name: Branch Code: Branch Name:

ONLINE DEPOSIT SLIP
(* Please deposit fee in only one bank & tick the relevant bank)

Allied Bank Limited Muslim Commercial Bank Allied Bank Limited Muslim Commercial Bank
(Formely: Allied Bank of Pakistan Limited) (Formely: Allied Bank of Pakistan Limited)

Remote Remote Remote Remote

Branch: I-8 Markaz Branch Islamabad (0140947) Branch: I-8 Markaz Branch, Islamabad (1501) Branch: I-8 Markaz Branch Islamabad (0140947) Branch: I-8 Markaz Branch, Islamabad (1501)
A/C A/C A/C A/C A/C A/C A/C A/C
Title: NTS-Pakistan-Collection No. 0010008325640018 Title: NTS-Pakistan 647943831003775
No. Title: NTS-Pakistan-Collection No. 0010008325640018 Title: NTS-PakistanNo. 647943831003775
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

LTD LTD
THE POWER TO LEAD THE POWER TO LEAD
Remote Remote
Branch: Cantt Br Kashmir Road Rawalpindi (0041) Remote H9 Shalimar Recording Co ISB (1742)
Branch: Cantt Br Kashmir Road Rawalpindi (0041) Remote H9 Shalimar Recording Co ISB (1742)
Branch: Branch:
A/C A/C A/C A/C A/C A/C A/C A/C
Title: NTS- Pakistan No. 217767828 Title: NTS-Pakistan No. 17427900464503 Title: NTS- Pakistan No. 217767828 Title: NTS-Pakistan No. 17427900464503
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 *Note:
Deposit Slip (NTS Copy) along Application Form to NTS Office 1. Please Stamp both copies of deposit Slip.
a 2. The Bank Must Return NTS Copy to the Candidate.
Application Form will not be entertained without Original Deposit Slip (NTS Copy) 3. Deposit Slip will not accepted without Candidate CNIC/ B Form No.

Applicants Applicants
Name: Name:
Father Father
Name: Name:
CNIC No/ CNIC No/
B Form No: B Form No:

Amount Amount in Seven Hundred Rupees only Amount 700/- Amount in Seven Hundred Rupees only
Rs:
700/- word: Rs. Rs: word: Rs.
Non Refundable/ Non Transferable Non Refundable/ Non Transferable

Applicant Signature Cashier Officer Applicant Signature Cashier Officer