Registration Form (BS Hons – 4 Years) Note: Please read the instructions given in the Admission Policy before filling this form. Degree Programme Please select only one programe* BS Surgical Technology – 4 Years Bs Dental Technology – 4 Years Anesthesia Technology – 4 Years Medical Lab Technology – 4 Years Radiology – 4 Years Personal Data: Applicant's Name:* Applicant's Father Name:* Applicant's CNIC:* Date of Birth:* Gender:* Male Female Martial Status: Single Married Permanent Address:* Phone No: Cell No:* E-mail Father/ Husband / Guardian Name:* Father/ Husband / Guardian Profession:* Father/ Husband/ Guardian Contact No:* Incase of Emergency Contact Person Name: Emergency Cell No: Address Appreard in KMU=CAT Test? Yes No Marks obtained in KMU-Cat Test Educational BackgroundFSC Pre Medical Annual/Supply:* Annual Supply Marks Obtained Total Marks Do you have any specific illness or Disability? Yes No Were you ever convicted in criminal proceedings in a Court of Law? if yes, attach a brief account. Certified that the facts produced above are correct to the best of my knowledge and belief. Attach Scan file – Maximum file size 2mb Upload Passport size Photo – Maximum file size 2 mb Upload do hereby solemnly declare that the particulars given above are correct, in case of any wrong information of facts, i shall be responsible for the consequences,I further undertake the abide by all the rules and regulations of the institute and shall accept all the decision made by the institute\’s administration. Undertaking Acceptance* Yes Submit Reset
