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REGISTRATION FORM Reg. No.

To be Filled by NTS

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Paste your recent
SHAHEED MOHTARMA BENAZIR BHUTTO
NTS INSTITUTE OF TRAUMA (SMBBIT) KARACHI
passport size color
photograph with gum

Screening Test for the Post of


Project ID: S-20-3521
Staff Nurse
Eligibility Criteria:
A. Is your age according to the prescribed age limit for the desired Post as on 29-07-2019? Yes No

B. Do you have relevant / prescribed Qualification & Experience as mentioned in Advertisement? Yes No

C. Are you Domiciled in Sindh? Yes No


If your reply is “Yes” to A, B & C above, only then please proceed further. Otherwise you are not eligible to apply.

01. Bank Online Deposit of Rs: 550/- from Designated Bank Branches. Exemption of fee for Disabled Person only

Bank Code Are you a Disabled Person? Yes No

Deposit Date
*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy)

Personal Information: Use CAPITAL letters and leave spaces between words.
02. Name in Full:

03. Father’s Name:

04. Candidate CNIC #:


Write your own CNIC No.

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


05. Gender: Male Female Write your Correct Date of Birth
otherwise you will be rejected

07. Postal Address:


Only for Information: NTS will not issue Roll No Slips through courier/postal services. Candidate must required to take electronic print out of Roll No. (having picture of candidate) from NTS website for appearing in tests.

City: District:

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


City Code - Phone No DO NOT give your portable mobile number (which is converted
from one network to another) so that SMS delivery is ensured.

09. Are you a Government Servant and applying through proper channel?
In case of Yes, please attach NOC Yes No

10. Are you a Disabled Person? 11. Religion:


If yes, please attach Disability Certificate Yes No Muslim Non Muslim

12. Are you registered Nurse with Pakistan Nursing Council? Yes No

13. Test City: Karachi

14. Province of Domicile: i. Sindh (Urban) ii. Sindh (Rural)


15. Academic Information: (Please attach copies of your academic certificates)
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.
4. Result awaiting candidates are not eligible.

Certificate / Specialization / Year Obtained Marks Total Marks


Degree / Sanad Title Board / University / Institute
Degree Level Major Subject Passing / CGPA / CGPA

Matric Science
Matric /
Equivalent O’ Level Arts
(10 Years)
Other: __________________ Other: _________

F.A F.Sc
Intermediate /
D.A.E D.A.E
(12 / 13 Years)
Other: __________________

Bachelor B.A B.Sc


(14 Years)
Other: __________________

Bachelor (Hons) M.A M.Sc


/ Master
(16 Years) Other: __________________
Duration in Months
Diploma / Diploma
Diploma in Nursing
Certificate Certificate

Undertaking By The Applicant:


I_____________________________ d/s/w of _________________________do hereby solemnly
declare and affirm that I have read and understood the instructions and conditions for appearing in
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the NTS Test, and I have filled-up the application form as per instructions given below. In case of any Affix your recent
information contained herein is found at any stage to be missing, untrue, false or forged, my passport size color
candidature can be cancelled at any stage (even after employment, if so revealed later), and I shall photograph
be liable to legal action.
with Stapler

Date: _________ Thumb Impression ____________ Candidate’s Signature ________________

GENERAL INSTRUCTIONS / INFORMATION:


Ø Please fill the Application Form properly with complete and correct information / answers.
Ø Please DO NOT leave any field blank, otherwise your application may not be considered.
Ø Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after employment,
and also proceeding of a legal action.
Ø Attach your Two recent Passport Size Photographs, Attested copies of CNIC, PRC, Domicile Certificate, Academic Certificates
and Original Bank Deposit Slip (NTS Copy)
Ø By Hand submission of Application Form is not allowed.
Ø Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.
Ø Use separate envelop and separate application form for each post you are applying for.
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Ø Last date for submission of application form is Monday 29 July, 2019.

HELP LINE: Please Send Application Forms to:


UAN : +92-51-844-444-1 NATIONAL TESTING SERVICE (HQ)
Website : www.nts.org.pk Shaheed Mohtarma Benazir Bhutto
Institute Of Trauma (SMBBIT) Karachi (project)
Plot # 96, Street # 4, H-8/1, Islamabad.

Only for Information: NTS will not issue Roll No Slips through courier/postal services. Candidate must required to take
electronic print out of Roll No. (having picture of candidate) from NTS website for appearing in tests.
NTS COPY BANK COPY
SHAHEED MOHTARMA BENAZIR BHUTTO SHAHEED MOHTARMA BENAZIR BHUTTO
INSTITUTE OF TRAUMA (SMBBIT) KARACHI INSTITUTE OF TRAUMA (SMBBIT) KARACHI

Branch Code: Date: Branch Code: Date:

Branch Name: Branch Name:

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

A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan
A/C No: 0010008325640110 A/C No: 0647943831005734 A/C No: 0010008325640110 A/C No: 0647943831005734
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

A/C Title: NTS Pakistan A/C Title: NTS Pakistan


A/C No: 00427991771403 A/C No: 00427991771403
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 *Note:
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.
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Last date for fee submission: Monday 29 July, 2019 Last date for fee submission: Monday 29 July, 2019

S-20-3521 S-20-3521
Applicant’s Applicant’s
Name: Name:
Father Father
Name: Name:
CNIC No/ CNIC No/
B Form No: B Form No:

Post Name: Post Name:

GST INVOICE GST INVOICE


NTN # 2680612-6 NTN # 2680612-6
GST # 3277876121192 GST # 3277876121192
NTS fee: 487/- NTS fee: 487/-
Amount in Five Hundred & Fifty Rupees Only Amount in Five Hundred & Fifty Rupees Only
GST@ 13%: 63/- word: Rs. Non Refundable/ Non Transferable
GST@ 13%: 63/- word: Rs. Non Refundable/ Non Transferable
Total: 550/- Total: 550/-

Applicant Signature Cashier Officer Applicant Signature Cashier Officer

CANDIDATE COPY
SHAHEED MOHTARMA BENAZIR BHUTTO INSTITUTE OF TRAUMA (SMBBIT) KARACHI

Branch Code: Branch Name: Date:

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

Allied Bank Limited Muslim Commercial Bank


Formely: Allied Bank of Pakistan Limited

A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C Title: NTS Pakistan
A/C No: 0010008325640110 A/C No: 0647943831005734 A/C No: 00427991771403
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)

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Last date for fee submission: Monday 29 July, 2019

S-20-3521
Applicant’s Father
Name: Name:
CNIC No/
Post Name:
B Form No:

GST INVOICE NTS fee: 487/-


Amount in Five Hundred & Fifty Rupees Only
NTN # 2680612-6 GST@ 13%: 63/- word: Rs. Non Refundable/ Non Transferable
GST # 3277876121192 Total: 550/-

Applicant Signature Cashier Officer