Application

Categories Applied For (Please tick only one) -- Select Program -- Renal Dialysis Technician Ophthalmic Technician Medical Lab Technician

Name of Applicant (In block letters)

Passport Size Photo (JPG, PNG, WEBP only)

Father’s Name (In block letters)

Student Date of Birth

Student CNIC/B Form Number (NADRA)

Father's CNIC Number

Domicile District

PTCL #

Student Mobile #

Father's Mobile #

Present Address

Permanent Address

Matric Total Marks Obtained Marks Percentage Science Subjects Marks Aggregate Percentage Science Subjects Physics Marks Chemistry Marks Biology Marks

FSC/FA Total Marks Obtained Marks Percentage