Z A SCHOOL OF MEDICAL TECHNOLOGY

ADMISSION 2023 - BS MEDICAL TECHNOLOGY

SIMS, Karachi-74200 Passport size
Ph: 99215718, 99215752 Ext [2101, 2120] Photo
Email: admissions@siut.org, Website: http://www.siut.org (Paste)
Instructions:
 Type or print the information neatly in black ink.
 Please fill out the form completely. Incomplete forms will not be accepted.
 Applicant’s and father’s names should be exactly as they appear on the Matriculation certificate.
ZA School of Technology offers BS (4-year) program in seven disciplines listed below. Seats in each discipline
are limited and admission into the chosen speciality is not guaranteed. Applicants are advised to select at
least three disciplines with the first choice numbered as 1, followed by second and third choices (1, 2 and 3).
Anaesthesia and Critical Care Sciences Nuclear Medicine and Radiotherapy
Clinical Laboratory Sciences Operation Theater Sciences
Diagnostic Radiology Respiratory Therapy and Critical Care Sciences
Dialysis and Critical Care Sciences
Name (in block letters): ____________________________________________________________________ Gender: ____________
Date of Birth: DD __ __/MM __ __/YR __ __ __ __ Place of Domicile __________________________________________
Applicant’s CNIC # - -
Mailing Address: _________________________________________________________________________________________
________________________________________________________________________________________________________
PTCL No: __________________________ Email: _______________________________________________________________
Permanent Address: ______________________________________________________________________________________
________________________________________________________________________________________________________
Father’s / Guardian’s Name: ____________________________________________________________________________
Father’s / Guardian’s CNIC # - -
Cell Numbers:
Student 0 3 - 0 3 -

Father 0 3 - 0 3 -

Mother 0 3 - 0 3 -

Guardian 0 3 - 0 3 -
ACADEMIC RECORD
Certificate or degree Board or University Year of passing Total Marks Marks Obtained Percentage %

Matric/ SSC / O Level

Inter / HSSC / A Level

BS / BSc /Others
Do not detach
Application Receipt
Z A SCHOOL OF MEDICAL TECHNOLOGY
ADMISSION 2023 - BS MEDICAL TECHNOLOGY
Passport size
Name (in block letters): _____________________________________________________________________ Photo
(Paste)
Father’s Name: __________________________________________________________________________
Applicant’s CNIC - -

Office Stamp: ____________________ Candidate’s signature: ____________________

UNDERTAKING:

All information provided in this application (including spelling of my NAME and my FATHER’S
NAME) is correct. If any information provided is found to be incorrect, SIMS reserves the right to
take punitive action including cancellation of my admission.

Dated: ________________ Candidate’s signature: ________________________

Documents to be attached/submitted with the application form. Please note that all documents
are subject to verification.

1. Two recent passport size color photographs (to be pasted on the form)
2. Attested copies of the following documents:
a. Computerized National Identity Card (CNIC)/Form “B”
b. Matriculation & Intermediate Certificates & Mark sheets
c. Character Certificates from School & College
d. Migration Certificate (for Boards other than Karachi)
e. Domicile & PRC

Entry test date will be communicated to applicants via SMS/E-mail/SIUT Website.