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.::National Testing Service::.

Print this Form

Registration No. _________________
To be filled by NTS

State Bank of Pakistan, SBP Banking Services Corporation (SBP-BSC)
Excellent Career Opportunity for Doctors at SBP-BSC
Prov ide 1 recent photograph, to be pasted in photograph column

*. Bank Online Deposit of Rs: 800/- from Designated Bank Branches.
Deposit Id

SBP(DR)-300110

Bank Name & Code

Deposit Date

* Note: Application Form w ill not be entertained w ithout Desired Bank Stamp & Original Deposit Slip (NTS Copy)

1. Desired Test City: KARACHI 3. Personal Information Use CAPITAL letters and leave spaces between words.
Name : Father's Name : C.N.I.C No. : Gender : Email : Postal Address : City : Province : Phone No. (Mobile) :

DR. GHULAM ULLAH SANWAL 42501-1235138-3 MALE
Date of Birth :
mm/dd/yyyy

1/1/1974

DRGHULLAMRIND@YAHOO.COM HOUSE NO. B-60/2, SACHAL GOTH, NEAR PCSIR LABORATORIES, SUPARCO ROAD, KARACHI KARACHI SINDH 03322711956
Domicile City : Phone No. (Res) :

SINDH (R)
Phone No. (Office) :

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4. Academic Information (Please attach your documents) Note: 1. NTS will not issue Roll No Slips to those who have not given their academic record accordingly. 2. Write exact degree name & major subject mention in certificate/ transcript.
Certificate / Degree Level Degree Title Major Subject Year Passing From Year Passing To Obtained Percentage Board / University

SSC
(10 Years)

MATRICULATION INTERMEDIATE MBBS - SELECT -

SCIENCE SCIENCE PREMEDICAL MEDICINE SURGERY MS GENERAL SURGERY

1988 1990 1993 2009

1990 1992 1998 2013

73.6 74.8 53

B.I.S.E, SUKKUR B.I.S.E, SUKKUR LUMHS, JAMSHORO LUMHS, JAMSHORO

HSSC
(12 Years)

MBBS or Equivalent Other Certificates

5. Experience
Designation Organization From To

POST GRADUATE TRAINEE-MS GENERAL SURGERY SENIOR MEDICAL OFFICER RESIDENT MEDICAL OFFICER SURGERY

LIAQUAT UNIVERSITY OF MEDICAL HEALTH SCIENCE, JAMSHORO DOW MEDICAL UNIVERSITY, OJHA CAMPUS KUTYANA MEMON HOSPITAL

09/04/2009 15/04/2013 25/04/2002

08/04/2013 05/08/2013 31/12/2007

Total Experience: 9 Years and 8 Months
Note: Only Post-Qualification Experience will be Considered

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.

Date: _________________

Signature of the Candidate: __________________

Prov ide 1 recent photograph, to be pasted in photograph column

www.nts.org.pk/_Ops_Sec/Test&Projects/Announces/SBP_08Sep2013/Form/NTS_Form2.asp

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Attach your 2recent photograph, CNIC copy and All Academic DMCs/ Certificates. By hand submission of application form is not allowed. Mobile phones are not allowed in Test Center premises.

Help line:
Phone No. ISB: 051-9258478-79 LHR: 042-99239258 KHI: 021-35215013 PES: 091-9218233 Website. www.nts.org.pk

Send Application Forms:
Manager Operations National Testing Service 96, Street No. 4, Sector H-8/1 Islamabad

www.nts.org.pk/_Ops_Sec/Test&Projects/Announces/SBP_08Sep2013/Form/NTS_Form2.asp

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Deposit Id :

SBP(DR)-300110_

Deposit Date : ____________________ Bank Code : _________________

Deposit Id :

SBP(DR)-300110_

Deposit Date : ____________________ Bank Code : _________________

Branch Name : __________________________________________

Branch Name : __________________________________________

* Note: Desired Bank Stamp is required on the Deposit Slip & Send Original
Deposit Slip (NTS Copy) along Application Form to NTS Office. Application Form w ill not be entertained w ithout Original Deposit Slip (NTS Copy)
Applicant's Name : Father's Name :

* Note for Bank Staff:
Please enter Deposit Id for reconciliation at NTS end.

Applicant's

DR. GHULAM ULLAH SANWAL 42501-1235138-3
Amount in Words: Rs.

Name : Father's Name :

DR. GHULAM ULLAH SANWAL 42501-1235138-3
Amount in Words: Rs.

CNIC No. / B. Form No. : Amount Rs:

CNIC No. / B. Form No. : Amount Rs:

800/-

Eight Hundred Rupees Only
Non Refundable / Non Transferable

800/-

Eight Hundred Rupees Only
Non Refundable / Non Transferable

____________
Applicant Signature

____________
Cashier

____________
Officer

____________
Applicant Signature

____________
Cashier

____________
Officer

www.nts.org.pk/_Ops_Sec/Test&Projects/Announces/SBP_08Sep2013/Form/NTS_Form2.asp

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