Registration No.

Filled by NTS

REGISTRATION FORM

NTS

Federal Medical & Dental College Islamabad

MBBS Admission Test Session 2013-14

Picture 1 Paste your recent passport size color photograph with gum
Provide 2 recent photograph both are pasted in photograph column

Eligibility Criteria:
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 your reply is Yes for A & B above, only then please proceed further. Otherwise you are not eligible to apply.

Yes Yes

No No

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. 9.

AJK FATA Gilgit-Baltistan

Khyber Pukhtoonkhwa Balochistan

2. Desired Test City

1. 2. 3. 4. Abbottabad Bahawalpur Faisalabad Gilgit

Fill Only One Box for Desired Test City (Mandatory)

(Subject to a minimum of 200 candidates, other wise the candidates will be assigned next nearest test city)

5. 6. 7. 8.

Gujranwala Hyderabad Islamabad Karachi

9. 10. 11. 12.

Lahore Multan Muzaffarabad Peshawar

13. 14.

Rawalpindi Quetta

Personal Information:
3. Name in Full: 4. Fathers Name: 5. Candidate CNIC# :

Use CAPITAL letters and leave spaces between words.

Mandatory (write your own CNIC No / B.Form No also attached the photocopy of your CNIC. Other wise you are not Eligible )

6. Gender:

Male

Female

7. Date of Birth:

Write your Correct Date of Birth other wise you will be rejected

1 9

8. Email:

9. Postal Address:
(All correspondence will be made on this address)

City: 10. Phone No:

(OFF) (RES.)

District:
(Mobile)

(City Code - Phone No)

11. Are your Father or Mother Federal Government Employee?

Yes

No

12. Academic Information:

(Please attached your required document)

Note: 1. NTS will not issue Roll No Slips to those who 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.
Certificate / Degree Level Year Passing Obtained Marks Total Marks

Degree Name & Subject

Institute/Board

SSC/ O-Level
(10 Years Degree)

HSSC/ A-Level
(12 Years Degree)

F.Sc (Pre Medical) Equivalent Degree With (Physics, Chemistry & Biology)

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.

Picture 2

Paste your recent passport size color photograph with Stapler

Date: ________________

Signature of the Candidate__________________

Attach your SSC/ O-Level , HSSC/ A-Level, Domicile Certificate, CNIC copy, Photograph & Original Bank Deposit Slip NTS Copy.. By Hand submission of Application Form is not allowed. Mobile Phones are not allowed in Test Center premises.
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. Last date for application submission is Wednesday, 23rd October 2013

Help line:
Phone No. 92-51-844-444-1 Website: www.nts.org.pk

Send Application Forms to:

Manager Operations National Testing Service 96, STREET # 04, SECTOR H-8/1 ISLAMABAD.

NTS
Branch Code: Branch Name:

National Testing Service

Building Standards in Educational and Professional Testing

NTS
Branch Code: Branch Name:

National Testing Service

Building Standards in Educational and Professional Testing

Date:

Date:

ONLINE DEPOSIT SLIP

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

Allied Bank Limited

(Formely: Allied Bank of Pakistan Limited)

Muslim Commercial Bank

0041749181000999 Note: Bank Service Charges Free of Cost
NTS-Collection
LTD THE POWER TO LEAD

Allied Bank Limited

(Formely: Allied Bank of Pakistan Limited)

Muslim Commercial Bank

A/C 0041749181000999 No. Note: Bank Service Charges Free of Cost Remote Branch: A/C Title:

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

I-8 Markaz Branch, Islamabad (1501)

NTS-Collection

Note: Bank Service Charges Free of Cost

Note: Bank Service Charges Free of Cost

LTD THE POWER TO LEAD

Remote Branch: A/C Title:

Cantt Br Kashmir Road Rawalpindi (0041) NTS- Pakistan

A/C No.

0205523391

Remote H9 Shalimar Recording Co ISB (1742) Branch: A/C A/C No. 1742-79002786-03 Title: NTS-Collection

Remote Branch: A/C Title:

Cantt Br Kashmir Road Rawalpindi (0041) NTS- Pakistan

A/C No.

0205523391

Remote H9 Shalimar Recording Co ISB (1742) Branch: A/C A/C No. 1742-79002786-03 Title: NTS-Collection

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 a Application Form will not be entertained without Original Deposit Slip (NTS Copy)
Applicants Name: Father Name: CNIC No/ B Form No: Amount Rs:

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

1200/-

Amount in word: Rs.

Twelve Hundred Rupees Only.

Non Refundable/ Non Transferable

Amount Rs:

1200/-

Amount in word: Rs.

Twelve Hundred Rupees Only.

Non Refundable/ Non Transferable

Applicant Signature

Cashier

Officer

Applicant Signature

Cashier

Officer