Registration No.

REGISTRATION FORM
MBBS Admission Test
Session 2013-14
Filled by NTS
PersonaI Information:

Use CAPTAL letters and leave spaces between words.
(City Code - Phone No)
(OFF) (RES.) (Mobile)
3. Name in FuII:
9. PostaI Address:
1 9
4. Father's Name:
5. Candidate CNIC# :
10. Phone No:
City: District:
8. EmaiI:
6. Gender:
Write your Correct Date of Birth
other wise you wiII be rejected
7. Date of Birth:
D M Y Y D M Y Y
MaIe FemaIe
Federal Medical &
Dental College slamabad
8 T N 8 T N
2. Desired Test City
1. DomiciIe
Punjab 1.
BaIochistan 3.
Khyber Pukhtoonkhwa 2.
Sindh Urban 4.
Sindh RuraI
FederaI CapitaI Territory
5.
6.
AJK 7.
FATA
GiIgit-BaItistan
8.
9.
Fill Only One Box for Desired Test City (Mandatory)
(Mandatory)
(Subject to a minimum of 200 candidates, other wise the candidates wiII be assigned next nearest test city)
Fill Only One Box
Mandatory (write your own CNC No / B.Form No also attached the photocopy of your CNC. Other wise you are not Eligible )
(All correspondence will be made on this address)
Bank OnIine Deposit of Rs: 1200/- from Designated Bank Branches.
Bank Name & Code
Deposit Date
*Note: AppIication Form wiII not be entertained without OriginaI Deposit SIip (NTS Copy) having Bank Stamp on sIip.
Provide 2 recent photograph
both are pasted in photograph coIumn
Paste your
recent
passport size
coIor photograph
with gum
Picture 1
Yes No
11. Are your Father or Mother FederaI Government EmpIoyee?
A. have passed my F.Sc or equivalent degree with (Physics, Chemistry & Biology)
B. have secured more than 60% marks in F.Sc or equivalent with (Physics, Chemistry & Biology).

Yes
Yes
No
No
f your reply is "Yes" for A & B above, only then please proceed further. Otherwise you are not eligible to apply.
EIigibiIity Criteria:
Abbottabad 1.
FaisaIabad
Lahore
2.
IsIamabad
Hyderabad 6.
Muzaffarabad
MuItan
9.
BahawaIpur
4. Karachi
7.
Peshawar
10.
8.
Quetta
11.
5. RawaIpindi
3.
14.
GiIgit
13.
GujranwaIa
12.
Undertaking By The AppIicant:
_____________________________ d/s/w of _________________________do
hereby solemnly affirm that have read and understood the conditions for appearing in the
NTS Test and that have filled the form as per instructions given above and in the event any
information contained herein is found to be untrue, shall be liable to disciplinary action which
may result in cancellation of my test.
Date: ________________ Signature of the Candidate__________________
SSC/ O-LeveI , HSSC/ A-LeveI, DomiciIe Certificate ,
.
By Hand submission of AppIication Form is not aIIowed.
MobiIe Phones are not aIIowed in Test Center premises.
Attach your , CNIC copy Photograph &
OriginaI Bank Deposit SIip NTS Copy.
Paste your recent
passport size
coIor photograph
with StapIer
Picture 2
HSSC/ A-LeveI
(12 Years Degree)
12. Academic Information: (Please attached your required document)
Certificate /
Degree LeveI
Degree Name & Subject
Obtained
Marks
Year
Passing
TotaI
Marks
Institute/Board
SSC/ O-LeveI
(10 Years Degree)
Note: 1. NTS wiII not issue RoII No SIips to those who have not given their academic record accordingIy.
2. O-LeveI & A-LeveI Candidates shouId convert their Grades into Marks
3. Candidate having Above 60% In F.Sc (higher secondary schooI) examination or equivaIent with
(Physics, Chemistry & BioIogy) From IBCC are eIigibIe.
F.Sc (Pre MedicaI)
EquivaIent Degree With
(Physics, Chemistry & BioIogy)
Send Application Forms to:
Manager Operations
National Testing Service
96, STREET # 04, SECTOR H-8/1
ISLAMABAD.
Help line:
Phone No. 92-51-844-444-1
Website: www.nts.org.pk
AppIication shouId reach NTS office Iatest by Iast date of submission of AppIication Form.
NTS wiII not be responsibIe for Iate receiving of appIication through courier / Pakistan Post etc.
Last date for appIication submission is Wednesday, 23rd October 2013
Date:
ONLI NE DEPOSI T SLI P
(* Please deposit Iee in only one bank & tick the relevant bank)
National Testing 8ervice
Building Standards in Educational and Professional Testing
OIIicer Cashier Cashier
A/C
No.
I-8 Marka: Branch Islamabad (0140947)
NTS-Pakistan-Collection 0010008325640018
Remote
Branch:
A/C
Title:
(Formely: Allied Bank of Pakistan Limited)
AIIiedBank Limited
A/C
No.
I-8 Marka: Branch, Islamabad (1501)
NTS-Collection 0041749181000999
Remote
Branch:
A/C
Title:
MusIim CommerciaI Bank
TweIve Hundred Rupees OnIy.
Non Refundable/ Non Transferable
A/C
No.
Cantt Br Kashmir Road Rawalpindi (0041)
NTS- Pakistan 0205523391
Remote
Branch:
A/C
Title:
A/C
No.
H9 Shalimar Recording Co ISB (1742)
NTS-Collection 1742-79002786-03
Remote
Branch:
A/C
Title:
THE POWER TO LEAD
LTD
8 T N 8 T N
National Testing 8ervice
Building Standards in Educational and Professional Testing
Branch Code:
Branch Name:
Cashier Cashier Applicant Signature
CNIC No/
B Form No:
Father
Name:
Applicant`s
Name:
Amount
Rs:
Amount in
word: Rs.
1200/-
TweIve Hundred Rupees OnIy.
Non Refundable/ Non Transferable
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
8 T N 8 T N
Branch Code:
Branch Name:
Applicant Signature
CNIC No/
B Form No:
Father
Name:
Applicant`s
Name:
Amount
Rs:
Amount in
word: Rs.
1200/-
Date:
OIIicer
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
A/C
No.
I-8 Marka: BranchIslamabad(0140947)
NTS-Pakistan-Collection 0010008325640018
Remote
Branch:
A/C
Title:
(Formely: Allied Bank of Pakistan Limited)
AIIiedBank Limited
A/C
No.
I-8Marka: Branch, Islamabad (1501)
NTS-Collection 0041749181000999
Remote
Branch:
A/C
Title:
MusIim CommerciaI Bank
A/C
No.
Cantt Br Kashmir Road Rawalpindi (0041)
NTS- Pakistan 0205523391
Remote
Branch:
A/C
Title:
A/C
No.
H9 Shalimar Recording Co ISB (1742)
NTS-Collection 1742-79002786-03
Remote
Branch:
A/C
Title:
THE POWER TO LEAD
LTD
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
Application Form will not be entertained without Original Deposit Slip (NTS Copy)
a
*Note:
1. PIease Stamp both copies of deposit SIip.
2. The Bank Must Return "NTS Copy" to the Candidate.
. 3 Deposit SIip wiII not accepted without Candidate CNIC/ B Form No.