APPLICATION FORM Reg. No.

To be Filled by NTS

Picture 1
PAKISTAN INSTITUTE OF
NTS PROSTHETICS & ORTHOTIC SCIENCES
Paste your recent
passport size color
photograph not older than
(KHYBER MEDICAL UNIVERSITY) 6 Months having
blue background with gum
Project ID: N-20-4500 Admission Test for

BS Program in Prosthetic & Orthotic Sciences

Eligibility Criteria:
A. Is your Age according to the desired Program at the date of 30-08-2019 (Age between 18-22 Years)? Yes No

B. Do you possess required Qualification as asked in Advertisement? Yes No

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

01. NTS Test processing fee Rs 500/- and PIPOS admission fee Rs. 700/- Total Fee 1200/-

Bank Code 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/B-Form 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 Disabled Person? 10. Religion:

Proof will be required at the time of interview Yes No Muslim Non Muslim

11. Hostel Accommodation required? Yes No

12. 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 or any other degree having grade).
3. Write exact degree name & major subject mention in certificate / transcript.
4. Result awaiting candidates are also eligible to apply.

Certificate / Year Obtained Total

Degree / Sanad Title Specialization / Major Subject Board / University / Institute
Degree Level Passing Marks Marks

Matric / Matric O’ Level Science Arts

Equivalent
(10 Years) Other: ______________ Other: _____________________

Intermediate / F.Sc A’ Level Pre-Medical Pre-Eng.

Equivalent
(12 Years) Other: ______________ Other: _____________________

Bachelor / B.Sc
Equivalent
(14 Years) Other: ______________

13. Test City: Peshawar

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 Picture 2
the NTS Test, and I have filled-up the application form as per criteria according. 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 not older than
6 Months having
be liable to legal action.
blue background 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 admission,
and also proceeding of a legal action.
Ø Attach your Two recent Passport Size Photographs, Copies of CNIC / Form-B, 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 Last date for submission of application form is Friday 30th August, 2019.

HELP LINE: Please Send Application Forms to:

UAN : +92-51-844-444-1 NATIONAL TESTING SERVICE (HQ)
Website : www.nts.org.pk PIPOS (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
PAKISTAN INSTITUTE OF PROSTHETICS & ORTHOTIC SCIENCES (KMU) PAKISTAN INSTITUTE OF PROSTHETICS & ORTHOTIC SCIENCES (KMU)

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.
Last date for fee submission: Friday 30th August, 2019 Last date for fee submission: Friday 30th August, 2019

N-20-4500 N-20-4500
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: 1135/- Amount in Twelve Hundred Rupees Only NTS fee: 1135/- Amount in Twelve Hundred Rupees Only
GST@ 15% on NTS Fee: 65/- word: Rs. Non Refundable/ Non Transferable GST@ 15% on NTS Fee: 65/- word: Rs. Non Refundable/ Non Transferable
500/- NTS Fee
+ Note: 500/- NTS Fee
+ Note:
700/- PIPOS Fee NTS will also collect Rs. 700/- Fee on behalf of PIPOS 700/- PIPOS Fee NTS will also collect Rs. 700/- Fee on behalf of PIPOS
1200/- Total Fee (GST Exempted) 1200/- Total Fee (GST Exempted)

Applicant Signature Cashier Officer Applicant Signature Cashier Officer

CANDIDATE COPY
PAKISTAN INSTITUTE OF PROSTHETICS & ORTHOTIC SCIENCES (KMU)

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)

th
Last date for fee submission: Friday 30 August, 2019

N-20-4500
Applicant’s Father
Name: Name:
CNIC No/
Post Name:
B Form No:
NTS fee: 1135/- Amount in Twelve Hundred Rupees Only
GST INVOICE GST@ 15% on NTS Fee: 65/- word: Rs. Non Refundable/ Non Transferable

NTN # 2680612-6 500/- NTS Fee

+ Note:
700/- PIPOS Fee NTS will also collect Rs. 700/- Fee on behalf of PIPOS
GST # 3277876121192 1200/- Total Fee (GST Exempted)

Applicant Signature Cashier Officer