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Category B Pharmacy Diploma in Peshawar
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ADMISSIONS FORM
BASIC INFORMATION :
First Name :
*
Last Name :
*
DOB :
*
Gender :
*
Male
Female
Student CNIC :
*
Student Contact No :
*
E-mail :
*
Father / Guardian Name :
*
Father / Guardian CNIC # :
*
Father/ Guardian Contact No :
Relation with Guardian Name :
*
Relation with Guardian CNIC :
*
Emergency Contact No :
*
Present Address :
*
City :
*
District :
*
Province :
*
Marital Status :
*
Single
Married
Religion :
*
Nationality :
*
PROGRAMS :
Please tick the subject for which application is being submitted
Program
Pharm-D
(Doctor of Pharmacy)
BS Nursing
(Generic)
BSc Nursing
(Post-RN)
DPT
(Doctor of Physiotherapy)
BS
(Medical Lab Technology)
BS
Anaesthesia
BS
Radiology & Imaging
BS
Surgical / OT
BS
Cardiology
BS
Emergency & ICU
BS
Dental Technoloyg
BS
Public Health
BS
(Applied Psychology)
BS
Health
BS
(Library & Information Sciences)
AD
(Medical Lab Technology)
FSc Pre-Program
F.Sc
(Pre-Medical)
F.Sc
(ICS)
F.Sc
(Pre-Engg)
F.Sc
(Nursing)
F.Sc
(MTG)
University : Migration
Nursing Diploma Courses
LHV
(Lady Health Visitor)
CMW
(Community Midwifery)
CNA
(Certified Nursing Assistant)
Paramedical Courses
Health
Dental
Pathology
Radiology
Surgical
Cardiology
Aesthesia
Pharmacy
Assistant Pharmacist
Cat 'B'
Intake Session :
Fall
Spring
Year:
Transfer / Migration Student :
Yes
No
ACADEMIC RECORD :
Certificate
Matric/O-Level
F.A/F.Sc/l.Com/lCS/A-Level/DAE
Bachelor
Master
Total Marks / Obtained Marks
Passing Year
Percentage% / CGPA
Board Roll #
Board / University
UNDERTAKING :
I shall have to pay fee regularly as per instructions of college.
Once I pay fee, I am aware that it is not refunded in any circumstances.
If admitted I shall abide by the rules, regulations and policies of the college.
I shall not take part in any political and unlawful activity.
I shall follow the dress code of the college.
I shall attend classes regularly as required by the college as well as by the government regulations.
In case of short attendance/ dues default, I Shall be treated as ineligible to apply/apper for Examination of Board/University/Council/FPMA.
The college authorities have the right to change the course fee, timetable, venue, faculty, etc.
Instructions
8 Passport size photographs with white Background.
3 attested copies of Matriculate certificate.
3 attested copies of intermediate certificate.
3 attested copies of National Identity Card of Father/Guardian.
3 attested copies of student's CNIC/B-Form.
Equivalence letter (in case of foreign certificate IBCC for O-Level).
All Documents should be attested by Gazetted officer.
Submit
