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    Nwihs Aug 2018 Admission Form

    Uploaded by

    Abid Ur Rehman
    This document is an admission form for the Northwest Institute of Health Sciences in Peshawar, Pakistan. It lists several degree programs being offered, including Doctor of Physical Therapy (DPT), BS Nursing, BSc Nursing Post RN, Medical Lab Technology, Medical Imaging Technology, and Anesthesia Technology. The form requests personal information from applicants such as name, father's name, date of birth, gender, marital status, addresses, phone numbers, and email. It also asks for educational history and marks obtained. Instructions are provided for documents required to submit with the completed admission form, including photos, transcripts, domicile certificates, ID cards, and other documents.

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

    Nwihs Aug 2018 Admission Form

    Uploaded by

    Abid Ur Rehman
    37 views2 pages
    This document is an admission form for the Northwest Institute of Health Sciences in Peshawar, Pakistan. It lists several degree programs being offered, including Doctor of Physical Therapy (DPT), BS Nursing, BSc Nursing Post RN, Medical Lab Technology, Medical Imaging Technology, and Anesthesia Technology. The form requests personal information from applicants such as name, father's name, date of birth, gender, marital status, addresses, phone numbers, and email. It also asks for educational history and marks obtained. Instructions are provided for documents required to submit with the completed admission form, including photos, transcripts, domicile certificates, ID cards, and other documents.

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    Nwihs Aug 2018 Admission Form

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    This document is an admission form for the Northwest Institute of Health Sciences in Peshawar, Pakistan. It lists several degree programs being offered, including Doctor of Physical Therapy (DPT), BS Nursing, BSc Nursing Post RN, Medical Lab Technology, Medical Imaging Technology, and Anesthesia Technology. The form requests personal information from applicants such as name, father's name, date of birth, gender, marital status, addresses, phone numbers, and email. It also asks for educational history and marks obtained. Instructions are provided for documents required to submit with the completed admission form, including photos, transcripts, domicile certificates, ID cards, and other documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    37 views2 pages

    Nwihs Aug 2018 Admission Form

    Uploaded by

    Abid Ur Rehman
    This document is an admission form for the Northwest Institute of Health Sciences in Peshawar, Pakistan. It lists several degree programs being offered, including Doctor of Physical Therapy (DPT), BS Nursing, BSc Nursing Post RN, Medical Lab Technology, Medical Imaging Technology, and Anesthesia Technology. The form requests personal information from applicants such as name, father's name, date of birth, gender, marital status, addresses, phone numbers, and email. It also asks for educational history and marks obtained. Instructions are provided for documents required to submit with the completed admission form, including photos, transcripts, domicile certificates, ID cards, and other documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    NORTHWEST

    INSTITUTE OF HEALTH SCIENCES


    A Project of Alliance Near Peshtakhara Chowk, Opp. Amin Masjid, Ring Road, Peshawar, KPK, Pakistan,
    Ph: +92-91-5231605-6, Website: www.nwihs.edu.pk , Email: Info@nwihs.edu.pk
    Healthcare (Pvt) Ltd.

    ADMISSION FORM
    Passport Size
    Form No. Photograph

    Please Tick ( )Required:


    Admission only one program.
    (To Apply for anyother program, buy a separete
    form for Rs. 250/-)
    Degree Programs

    Doctor of Physical Therapy (DPT) (5 Yrs)


    BS Nursing (Generic BSN) (4 Yrs)
    BSc Nursing Post RN (2 Yrs)
    Medical Lab Technology (MLT)(4 Yrs)
    Medical Imaging Technology (MIT) (4 Yrs)
    Anesthesia Technology (4 Yrs)

    Personal Data: (Fill in Capital Letters)


    Applicant's Name:
    Father's/Guardian’s Name:
    Date of Birth: (dd-mm-yy). Gender: M: F:
    Marital Status: Married: Unmarried:
    Present address:

    Permanent address:
    District: Country:
    Phone No. Res: Cell No:
    Email: Candidate's Na
    Father/Husband /Guardian Name:
    Father's/ Husband’s Profession
    Father/Husband /Guardian ContactNo.:
    In case of Emergency, please contact No.:
    Name:
    address:
    Phone No. Res: Cell No.:

    Educational Information:
    Degree/ Passing Name of Annual/ Marks Exam %age
    Ins Supply Total Marks
    ate Year Board Obtained Roll No

    Marks obtained in ETEA:


    Were you ever convicted in criminal proceedings in a Court of Law? If yes, a ach brief detail of
    the case.
    t the facts produced are correct to the best of my knowledge

    Signature of Applicant's Father/ Guardian Signature of the Applicant

    CNIC: CNIC:

    For O e Use Only

    Remark ee:

    INSTRUCTIONS FOR APPLICANTS

    A ach a ested photocopies of the following documents with the applica form. Please check ( )
    the relevant box .
    Ÿ Three passport size photographs with blue background of the applicant a ested on the back.
    Ÿ Two copies of Detailed Marks ate on the basis of which admission is sought (F.Sc or
    equivalent)
    Ÿ An equivalency ate, if the qualifying ate is from a foreign country.
    Ÿ A copy of Secondary School ate Examina (Science)
    Ÿ Two copies of Domicile ate or a copy of Computerized Na Iden Card of the
    applicant or Computerized Form B, copied on full size paper.
    Ÿ A copy of Computerized Na Iden Card of applicant's Father or Guardian / Mother, if
    father is not alive.
    Ÿ A copy of a empt ate from the Concerned BISE, if the period between SSC and FSc is more
    than two sessions.
    Ÿ Undertaking with two references on judicial stamp paper of Rs. 30/- duly attested by
    Notary Public/Political Agent as per specimen given in the prospectus/admission
    (only after getting admission)

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