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    Ministry of Inter Provincial Coordination (IPC Division) : S T NS T N

    Uploaded by

    Syed Mairaj Ul Haq
    The document is a registration form for the NTS test for admission to MBBS/BDS courses in Bangladesh. It contains: 1) Personal information sections requesting details like name, father's name, CNIC number, date of birth, address, contact details. 2) Academic history sections seeking educational qualifications, subjects taken, marks/grades obtained. 3) An undertaking by the applicant affirming they have read and understood the test conditions. 4) Instructions about attaching documents, submitting the form by deadline, and the scheduled test date.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Ministry of Inter Provincial Coordination (IPC Division) : S T NS T N

    Uploaded by

    Syed Mairaj Ul Haq
    27 views3 pages
    The document is a registration form for the NTS test for admission to MBBS/BDS courses in Bangladesh. It contains: 1) Personal information sections requesting details like name, father's name, CNIC number, date of birth, address, contact details. 2) Academic history sections seeking educational qualifications, subjects taken, marks/grades obtained. 3) An undertaking by the applicant affirming they have read and understood the test conditions. 4) Instructions about attaching documents, submitting the form by deadline, and the scheduled test date.

    Original Description:

    jklsdf

    Original Title

    BanglaMed27Sep2015 Form

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    The document is a registration form for the NTS test for admission to MBBS/BDS courses in Bangladesh. It contains: 1) Personal information sections requesting details like name, father's name, CNIC number, date of birth, address, contact details. 2) Academic history sections seeking educational qualifications, subjects taken, marks/grades obtained. 3) An undertaking by the applicant affirming they have read and understood the test conditions. 4) Instructions about attaching documents, submitting the form by deadline, and the scheduled test date.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    27 views3 pages

    Ministry of Inter Provincial Coordination (IPC Division) : S T NS T N

    Uploaded by

    Syed Mairaj Ul Haq
    The document is a registration form for the NTS test for admission to MBBS/BDS courses in Bangladesh. It contains: 1) Personal information sections requesting details like name, father's name, CNIC number, date of birth, address, contact details. 2) Academic history sections seeking educational qualifications, subjects taken, marks/grades obtained. 3) An undertaking by the applicant affirming they have read and understood the test conditions. 4) Instructions about attaching documents, submitting the form by deadline, and the scheduled test date.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Registration No.

    To be Filled by NTS

    REGISTRATION FORM

    NTS

    Picture
    Paste your 2
    recent
    passport size
    color
    photographs
    with Stapler

    Ministry of Inter Provincial


    Coordination (IPC Division)
    MBBS / BDS Courses In Bangladesh
    Academic Year 2016
    A keyword (only 4 Digits) provided by the candidate to
    submit correction query later for correction in provisional
    candidate list on the NTS website

    *. Authentication Keyword

    Bank Online Deposit of Rs: 800/- from Designated Bank Branches.


    Deposit Date

    Bank Name & Code

    *Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy) having Bank Stamp on slip.

    2. Desired Test City

    Fill Only One Box for Desired Test City (Mandatory)


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

    1.

    Islamabad

    3.

    Karachi

    5.

    Quetta

    2.

    Lahore

    4.

    Peshawar

    6.

    Multan

    Personal Information:

    7.

    Faisalabad

    Use CAPITAL letters and leave spaces between words.

    3. Name in Full:
    4. Fathers Name:
    5. Candidate CNIC# :

    6. Gender:

    Mandatory (write your own CNIC No also attached the photocopy of your CNIC. Other wise you are not Eligible )

    7. Date of Birth:

    Write your Correct Date of Birth


    other wise you will be rejected

    1 9

    8. Email:

    9. Postal Address:
    (All correspondence will be made on this address)

    Postal City
    District:

    City:
    10. Phone No:

    (OFF.)

    (RES.)

    (Mobile)

    (City Code - Phone No)

    11. Place of Birth:

    Country of Birth:

    12. Pasport No:

    Date of Issue:

    Nationality:
    Any other travel
    document:
    Nationality:

    13. Name of guardian:


    14. Address of guardian:
    15. Name & Address of person to be notified in case of emergency:
    (A). In Bangladesh:
    (B). In Country of Domicile:
    16. Have you applied for admission in any
    educational institute in Bangladesh:

    Yes

    17. Name of the course to which admission is sought:


    Note Candidate who desires to be considered for more than one
    course should submit separate application for each course

    No
    MBBS

    If yes, give year & decision,


    if any communicated to you

    BDS

    Male

    Female

    18. Domicile Fill Only One Box for Desired Domicile

    (Mandatory)

    1.

    Punjab

    4.

    Sindh Urban

    6.

    AJK

    2.

    Khyber Pukhtoonkhwa

    5.

    Sindh Rural

    7.

    Fata Fana

    3.

    Balochistan

    19. Academic Information:

    (Please attached your required document)

    Note: 1. NTS will not issue Roll No Slips to those who have not given their academic record accordingly.
    2. Physics, Chemistry & Biology as your major subject in HSSC (Pre-Medical) or equivalent.
    3. Result awaiting candidates are not eligible.
    Certificate /
    Degree Level

    Degree Name

    Major Subject

    Year
    Passing

    Obtained
    Marks/CGPA

    Total
    Marks/CGPA

    Institute/Board

    SSC/ O-Level
    (10 Years Degree)

    HSSC/ A-Level
    (12 Years Degree)
    ?
    Please write you obtained / total marks in the subject of Biology in F.Sc Pre-Medical or

    Equivalent Examination.

    20. Proficiency of Language:


    Reading

    Language

    Excellent

    Good

    Writing
    Fair

    Excellent

    Speaking

    Good

    Fair

    Excellent

    Good

    Fair

    21. Cross check of basic criteria:


    A. I have passed my SSC or equivalent exam not before year 2012?

    Yes

    No

    B. I have secured more than 80% aggregate in SSC & HSSC or equivalent exam?

    Yes

    No

    C. Have you secured 65% marks in the subject of Biology in F.Sc or equivalent examination?

    Yes

    No

    Undertaking By The Applicant:


    I_____________________________ d/s/w of _________________________do hereby solemnly affirm that I
    have read and understood the conditions for appearing in the NTS Test and that I have filled the form as per instructions
    given above and in the event any information contained herein is found to be untrue, I shall be liable to disciplinary action
    which may result in cancellation of my test.
    Date: ________________

    Signature of the Candidate:__________________

    Attach your Two Recent Passport Size Photograph, CNIC copy and Original Bank
    ?
    Deposit Slip (NTS Copy).
    ?
    By Hand submission of Application Form is not allowed.
    ?
    Mobile Phones are not allowed in Test Center premises.

    Help line:
    UAN: +92-51-844-444-1
    Website: www.nts.org.pk

    ?
    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.
    ?
    Application received on Friday, 4th September 2015 will not be entertained by NTS.

    Schedule of Test
    Test Date:

    Sunday, 27th September 2015

    Last Date of submission Application form:

    Thursday, 3rd September 2015

    Send Application Forms to:


    Bangladesh Medical (Project)

    National Testing Service


    1-E, Street No. 46, Sector I-8/2,
    Islamabad.

    Building Standards in Educational and Professional Testing

    Building Standards in Educational and Professional Testing

    Ministry of Inter Provincial Coordination (IPC Division)


    Date:

    Branch Code:

    Ministry of Inter Provincial Coordination (IPC Division)


    Date:

    Branch Code:

    Branch Name:

    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.

    Eight 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:

    800/-

    217767828

    *Note:

    Applicants
    Name:

    Amount
    Rs:

    A/C
    No.

    800/-

    Applicant Signature

    Amount in
    word: Rs.

    Eight Hundred Rupees Only


    Non Refundable/ Non Transferable

    Cashier

    Officer

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