Admission Form 2020 2021
Admission Form 2020 2021
Admission Form 2020 2021
STUDENT INFORMATION
Name
Father Name
Present
Permanent
Email (Mandatory)
Applicant's
Brothers Sisters
Name
Occupation Designation
Department Organization
Residential
Address
Postal Code
Office
Address
Postal Code
Email (Mandatory)
`
Percentage (HSC/IBCC) Biology Chemistry Physics English
% Grade % Grade % Grade % Grade
Name of Institution:
IF YES
Name of Institution.
Location
Date / /
Reason
Declaration:
I agree, if admitted to the United College of Physical Therapy, to comply with college regulations. I certify that the information on this
application is true and complete in all respects and that I have not withheld any information and I understand that misrepresentation,
falsification of documents, or withholding of requested information are serious offences which can result in denial of admission or removal
from institution and I am responsible for any of the information provided.
The statements I have made above are true. I agree to conform to the discipline of the selection process and to accept the decisions of
United College of Physical Therapy as final. I further undertake to sign and execute any legal documents if required, for the purpose of
admission. I undertake to abide by the rules & regulations of United College of Physical Therapy.
I Understand that admission will only be considered final once all fees have been paid.
/ /
Date of Application Signature of Parent / Guardian Signature of Applicant
Name : Name :
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Describe briefly in your own handwriting your personality, your ambition and the motivation to become a doctor of Physical Therapy
4 Three colour passport size photos (write name on the back of each photograph). Attach one on the
front of the form.
5 Grade sheets / Mark Sheets copy.
b) British System Of Education O-Level Grade Sheet copy A-Level Grade Sheet copy
Original documents will be inspected and verified from issuing authorities upon U.C.P.T discretion.
Kindly submit the above mentioned documents by hand/courier to United College of Physical Therapy,
Between 9am to 3:30pm, Monday to Friday(Excluding Public Holiday).
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SUBMISSION
ADMIT CARD
TEST
5 All selected candidates and their parent/guardian, will be required to submit an affidavit on a Rs100/
stamp paper duly notarized by a notary, stating the United College of Physical Therapy required.
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