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    Al Biruni Admission Form 2017 2018

    Uploaded by

    Sharique Dehraj SB
    This document appears to be an application form for admission to the Al-Biruni Institute of Physiotherapy and Rehabilitation Sciences which is affiliated with the Liaquat University of Medical and Health Sciences in Jamshoro, Pakistan. The application requests personal information such as name, date of birth, address, education history, and a declaration signed by the applicant and parent/guardian. A checklist is provided to ensure all necessary documents like transcripts, certificates, and photos are included with the application.

    Copyright:

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

    Al Biruni Admission Form 2017 2018

    Uploaded by

    Sharique Dehraj SB
    56 views3 pages
    This document appears to be an application form for admission to the Al-Biruni Institute of Physiotherapy and Rehabilitation Sciences which is affiliated with the Liaquat University of Medical and Health Sciences in Jamshoro, Pakistan. The application requests personal information such as name, date of birth, address, education history, and a declaration signed by the applicant and parent/guardian. A checklist is provided to ensure all necessary documents like transcripts, certificates, and photos are included with the application.

    Original Description:

    Admission form

    Original Title

    Al-Biruni-Admission-Form-2017-2018

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    © © All Rights Reserved

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    This document appears to be an application form for admission to the Al-Biruni Institute of Physiotherapy and Rehabilitation Sciences which is affiliated with the Liaquat University of Medical and Health Sciences in Jamshoro, Pakistan. The application requests personal information such as name, date of birth, address, education history, and a declaration signed by the applicant and parent/guardian. A checklist is provided to ensure all necessary documents like transcripts, certificates, and photos are included with the application.

    Copyright:

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

    Al Biruni Admission Form 2017 2018

    Uploaded by

    Sharique Dehraj SB
    This document appears to be an application form for admission to the Al-Biruni Institute of Physiotherapy and Rehabilitation Sciences which is affiliated with the Liaquat University of Medical and Health Sciences in Jamshoro, Pakistan. The application requests personal information such as name, date of birth, address, education history, and a declaration signed by the applicant and parent/guardian. A checklist is provided to ensure all necessary documents like transcripts, certificates, and photos are included with the application.

    Copyright:

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

    Al- BIRUNI

    INSTITUTE OF PHYSIOTHERAPY
    & REHABILITATION SCIENCES
    Affiliated with LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES (LUMHS), JAMSHORO

    PERSONAL INFORMATION
    Name:
    (In Block Letters)

    Surname: Please
    Attach Your
    Recent Passport
    Father’s Name: Size Photograph

    Father’s/Guardian’s Occupation:

    Date of Birth Place of Birth Country of Birth

    Gender: Male Female Marital Status: Single Married


    Blood Group: Religion: Nationality:
    NATIONAL IDENTIFICATION
    CNIC #:
    Date of Issue: dd mm yy

    Place of Issue:

    CORRESPONDENCE ADDRESS

    City: Province: Tel #:

    Cell #: Emergency Contact #: Email:


    UNDERGRADUATE
    DPT
    NEWS SOURCE
    How did you learn about Al-Biruni (IPT&RS) admission?
    Newspaper Internet Friends/Relatives
    Electronic Media Other________________

    Al-Biruni (Institute of Physiotherapy & Rehabilitation Sciences),


    E-514, Gulistan-e-Sajjad, Qasimabad, Hyderabad. Tel: (+92 22) 2656873
    LAST INSTITUTE ATTENDED
    Name of School / College / Date (Year)
    University Last Attended City Country
    RECORD OF PREVIOUS STUDIES

    From To

    SECONDARY EDUCATION (MATRICULATION)


    Year of Completion: Name of Board / University:
    Total Maximum Marks: Total Marks Obtained: % Total Marks Obtained:
    HIGHER SECONDARY EDUCATION (INTERMEDIATE)
    Year of Completion: Name of Board / University:
    Subjects Marks obtained Subjects Marks obtained

    Total Maximum Marks: Total Marks Obtained: % Total Marks Obtained:


    DECLARATION
    The statements provided by me are true and I agree to abide by all the instructions and directions provided by competent athority of
    this institute.

    Applicant’s Signature Date


    I hereby testify that the statements made by my son/dauther are correct to the best of my knowledge.
    I also affirm to ensure that all the commitments made by my son/dauther are fulfilled.

    Name of Parent Guardian Signature Date

    CNIC #: Contact #: NTN #:


    COMPLETING THE APPLICATION FORM: A CHECKLIST
    Please make sure that you have enclosed the necessary documents and duly filled application
    form according to checklist
    APPLICATION FORM
    Application form complete in all respects
    Declaration on page 2 signed parents / guardian

    PASSPORT SIZE PHOTOGRAPHS


    Six recent passport size photographs
    Write your name on the back of each photograph

    CERTIFICATION AND OTHER RESULTS


    Attested photocopies of official pass certificates, marksheets or transcripts of matriculation and intermediate
    CNIC Copies
    In case of admission confirmation, the Admissions Office requires original documents (marksheets and
    certificates) issued by the Boards of Education for verification and assignment of a permanent enrollment
    number
    Note:
    No documents will be returned. Please keep copies of all the documents for your record.

    Correspondence will be done by courier service on the notified address. The University shall not be
    responsible for non-delivery of any correspondence due to the negligence of the courier service or
    unnotified change of address by the applicant.

    APPLICATION PROCESSING FEE


    If you have already purchased the admission kit along with the application form, the application
    processing fee is Rs. 1,000 (USD 60 for overseas students).

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