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Category B Pharmacy Diploma in Peshawar
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ADMISSIONS FORM
BASIC INFORMATION :
Name Roll Board
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)
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
