OBIE Saas APPLICATION FORM for ADMISSION in BS-OPTOMETRY (Session 2020-21) Photograph « Department of Ophthalmology & Visual Sciences Fil the fom in Bock etter. Name of Applicant Father’s Name Birth Date Birth Location_____ Birth Country Age on closing date. National ID No. a —] | Marital Religion, Male[_]Female[_] ‘Or “B” Form No. | Status Home Address Tel No.. Mobile; —___ E-mail: —E Candidate Father Guardian Domicile PRC Domicile PRC Domicile PRC Certi ite No. District Name Date of Issue Place of Issue Ee ae see) ke ee PLES Level of Study Name & Place of Institution Passing Year Obtained Marks OUT OFF Natric / 0 Level 1 Equivalent Inter Science / A Level / Equivalent Interest in any other ProfessionParticulars of Father/Mother/ Guardian Name Male Female Marital Status Relationship with Candidate National ID No. = =] | Home Address {as mentioned in CNIC) Mobile No., Tel No. Department Occupation Designation Left Rand thumb impression of ‘Applicant's Signature Father's / Guardian Signature Applicant Paid Fee Voucher of Rs.2,000/- ---- Matric Marks Sheet attached, eis IN PLETE FORM WILL BE REJECTED No Yes No No No No No No No10. 11. 12, 13. 14, 15, IMPORTANT INSTRUCTIONS FOR CANDIDATES . Fill all the columns of application form in BLOCK LETTERS with BLACK PEN. Be sure to tick the appropriate Box in the application form... Photocopies of all required documents must be attested by Govt. officer, grade 18 and above. Photocopy of the application form and incomplete form will be rejected. No form will be accepted in any case after the last date and time of the application form. Each application should be accompanied by Non Refundable Entrance Test Fee” of Rs.2,000/- (Rupees two thousand Only) in the form of Paid Fee Voucher in UBL Baba-e-Urdu Road Branch, Karachi. Carefully check the ‘Required Documents’ list mentioned in the Application Form. Specimen of undertaking will be given when the candidate is declared eligible for provisional admission. The application form and required documents completed in all respect should be submitted to United Bank Limited, Baba-c-Urdu Road, Branch, Karachi. In case, their is any change in the date of Entrance test due to some unavoidable situation, it will be notified on the website of DUHS www.duhs.edu.pk DO NOT submit the original documents alongwith the application form. All queries should be sent on email address mentioned on the Back page. No candidate should contact personally for any queries. Daily visit the website of DUHS for announcement and informations. Do not forget to keep the Photocopy of the application form in your own record.2imyoulsauoyddy aumoubs dors ypunsa Buy _aumiouts wood 2unyouts dors younrg Buoy aumoutis woonddy 2amoubis duos younig Bua2ay ‘aumyouis woouddy 2umoubs dois ypuaua Buy 7g puesnowy om ear 7 puesnowt mL oad ‘00a Tea oer wane || on 00" a ‘o-oo 0 0007 323 Russononavone>nesy INTOWY 1533/90 WEB. NOW 153190 WE3O) NONE 1533490 WWESO. ‘INV ways SINVN wah svn wat INV wats sm] aww sv} CCE emiousen Taga e090 Tovo 1y>esey ‘youerg peoy npun-2-eqeg S-00ve-TOT #/V TaN, snawvo Wa ‘S20N3I0S HLTV3H 4O ALISU3AINN MOG. S IC OZOT HOS) AMIIWOLAD-SE eo v0 Taare 7180 9a Tov0 -woeiey ‘ypuedg peoy npanr-o-eqea S-00ve-Tor #2/¥7¢n snawyo Wo S30N3I0S HLTV3H 4O ALISUZAINN MOG 1 oped jo wauyetag » oC 7-0207 48S) ,YLAWOLO-S8 sou Hes woe Teneo 10 9G ‘Tov0-1woe1ey “ypuedg peoy npunya-eqea S-00PE-TOT #2/V Tan sngwv9 2G SION3IDS HLTV3H 4O ALISUZAINN MOG COED 2niees Tamar 02a Tovo -ypesey ‘youerg peoy npun-2-eqe9 S-00vE-TOT #/V T6N, snawv9 2a ‘S2ON3I0S HLTV3H 4O ALISU3AINN MOG.