Reg. No.

REGISTRATION FORM

NTS

To be Filled by NTS

Federal Medical &

Dental College Islamabad

Picture 1
Paste your recent
passport size color
photograph with gum

Shaheed Zulfiqar Ali Bhutto Medical University

PIMS, G-8/3, Islamabad
MBBS Admission Test
Session 2015-16

01. Bank Online Deposit of Rs: 700/- from Designated Bank Branches.
Deposit Date

Bank Code

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

02. Desired Test City: Fill Only One Box

(Mandatory)

(Subject to a minimum of 200 candidates, other wise the candidates will be assigned next nearest test city)

01.

Islamabad / Rwp

02.

Lahore

03.

Multan

04.

Faisalabad

05.

Bahawalpur

06.

Karachi

07.

Hyderabad

08.

Sukkur

09.

Abbottabad

10.

Peshawar

11.

D.I. Khan

12.

Quetta

03. Province of Domicile: Fill Only One Box for Desired Province Domicile. (Mandatory)
01.

Federal Capital Territory

02.

Punjab

03.

Khyber Pakhtunkhwa

04.

Balochistan

05.

Sindh (Urban)

06.

Sindh (Rural)

07.

AJK

08.

Gilgit Baltistan

09.

FATA

Personal Information: Use CAPITAL letters and leave spaces between words.
04. Name in Full:
05. Fathers Name:
06. Candidate CNIC #:
Write your own CNIC No. Or B Form No.

07. Gender:

Male

08. Date of Birth:

Female

Write your Correct Date of Birth

otherwise you will be rejected

All correspondence will be made on this address though courier service or ordinary postal service.

10. Phone No: (OFF)

District:

(RES.)

(Mobile)

City Code - Phone No

11. Is your Father or Mother Federal Government Employee?

Mandatory

Yes

1 9

09. Postal Address:

City:

No

12. Academic Information:

(Please do not attach copies of your academic certificates at this stage)

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.

Certificate /
Degree Name

Degree Title

Specialization / Major Subject

Year Passing

Obtained Marks / CGPA

Total Marks / CGPA

SSC/ O-Level
(10 Years Degree)

HSSC/ A-Level
(12 Years Degree)

Undertaking By The Applicant:

I_____________________________ d/s/w of _________________________do hereby
solemnly affirm that I have read and understood the instructions and conditions for
appearing in the NTS Test and that I have filled-up the application form as per instructions
given below, and in the event of any information contained herein is found at any stage to
be missing, untrue, false or forged, I shall be liable to legal action either by NTS or the
Partner Organization and also cancellation of my candidature and suitability for admission
at any stage even after enrolment.
Date: ________________

Signature of the Candidate__________________

Picture 2
Affix your
2 recent
passport size
color
photograph
with Stapler

Check List:
Original Bank Deposit Slip (NTS Copy)
Attested copy of Matriculation Certificate / Result Card or Equivalent
Attested copy of HSSC (F.Sc Pre-Medical) or Equivalent
Attested copy of Domicile Certificate
Three recent Passport Size Photographs (1 attested on the front and other 2 on the back)

General Instructions / Information:

By Hand submission of Application Form is not allowed.

Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.
th

Last date for submission of application form is Monday 14 September, 2015.

th

Applications received on or after Tuesday 15 September, 2015 will be rejected.

Application should reach NTS office latest by last date of submission of Application Form.

NTS will not be responsible for late receiving of application through courier / Pakistan Post etc.

HELP LINE:
UAN
: +92-51-844-444-1
Website : www.nts.org.pk

Please Send Application Forms to:

National Testing Service
FMDC (Project)
1-E, Street No. 46, Sector I-8/2,
Islamabad.

Building Standards in Educational and Professional Testing

Building Standards in Educational and Professional Testing

Federal Medical & Dental College Islamabad

Federal Medical & Dental College Islamabad

Date:

Unique ID:
Branch Code:

Date:

Unique ID:

Branch Name:

Branch Code:

Branch Name:

ONLINE DEPOSIT SLIP

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

Muslim Commercial Bank

Allied Bank Limited

Muslim Commercial Bank

Allied Bank Limited

(Formely: Allied Bank of Pakistan Limited)

(Formely: Allied Bank of Pakistan Limited)

Remote
I-8 Markaz Branch Islamabad (0140947)
Branch:
A/C
A/C
Title: NTS-Pakistan-Collection No. 0010008325640018

Remote
Branch:
A/C
Title:

I-8 Markaz Branch, Islamabad (1501)

A/C
No.

Remote
I-8 Markaz Branch Islamabad (0140947)
Branch:
A/C
A/C
Title: NTS-Pakistan-Collection No. 0010008325640018

Remote
Branch:
A/C
Title:

I-8 Markaz Branch, Islamabad (1501)

Note: Bank Service Charges Free of Cost

A/C
647943831003775
No.
Note: Bank Service Charges Free of Cost

Remote H9 Shalimar Recording Co ISB (1742)

Branch:
A/C
A/C
No. 17427900464503
Title: NTS-Pakistan

Remote
Branch:
A/C
Title:

Remote H9 Shalimar Recording Co ISB (1742)

Branch:
A/C
A/C
No. 17427900464503
Title: NTS-Pakistan

Note: Bank Service Charges Free of Cost

Note: Bank Service Charges Free of Cost

Note: Bank Service Charges Free of Cost

647943831003775
Note: Bank Service Charges Free of Cost

Remote
Branch:
A/C
Title:

NTS-Pakistan

NTS-Pakistan

LTD

LTD

THE POWER TO LEAD

Cantt Br Kashmir Road Rawalpindi (0041)

NTS- Pakistan

A/C
No.

217767828

Note: Bank Service Charges Free of Cost

THE POWER TO LEAD

*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original
Deposit Slip (NTS Copy) along Application Form to NTS Office
a
Application Form will not be entertained without Original Deposit Slip (NTS Copy)

Cantt Br Kashmir Road Rawalpindi (0041)

NTS- Pakistan

Father
Name:

Father
Name:

CNIC No/
B Form No:

CNIC No/
B Form No:

Applicant Signature

Amount in
word: Rs.

Seven Hundred Rupees only

Amount
Rs:

Non Refundable/ Non Transferable

Cashier

Officer

Note: Bank Service Charges Free of Cost

1. Please Stamp both copies of deposit Slip.

2. The Bank Must Return NTS Copy to the Candidate.
3. Deposit Slip will not accepted without Candidate CNIC/ B Form No.
Applicants
Name:

700/-

217767828

*Note:

Applicants
Name:

Amount
Rs:

A/C
No.

700/-

Applicant Signature

Amount in
word: Rs.

Seven Hundred Rupees only

Non Refundable/ Non Transferable

Cashier

Officer