DOW UNIVERSITY OF HEALTH SCIENCES

Transcription

1 APPLICATION FORM for ADMISSION in IPM&R Doctor of Physical Therapy Bs. Occupational Therapy Bs. Prothetics & Orthotics Application. (AP.) Photograph Name of Applicant Father s Name Birth Date Birth Location Birth Country Age on closing date National ID. Or B Form. Marital Status Religion Male Female (Present) Tel. Mobile: (as mentioned in NIC) Domicile Candidate s PRC Domicile Father s PRC Domicile Guardian s PRC Certificate. District Name Date of Issue Place of Issue ACADEMIC RECORD OF CANDIDATE Level of Study Name & Place of Institution Passing Year Matric / O Level Inter Science / A Level (If any Professional education (Current or Past) ACADEMIC RECORD OF BROTHERS & SISTERS Level of Study Name & Place of Institution Passing Year Matric / O Level Inter Science / A Level

2 Particulars of Father/Mother/ Guardian Name Marital Status Relationship with Candidate Male Female National ID. Place of Issue (Present) (as mentioned in NIC) Tel. Mobile. Fathes/Guardian Income Department Occupation Employer Designation Highest Eucation Level Citizenship of Province A) Did you do any Research Work? If yes give detail. Candidates Co-curricular Activities B) Are you good in any Sports? If yes give detail. NOTE: INCOMPLETE FORM WILL BE REJECTED Paid Fee Voucher of Rs.2,000/- Matric Marksheet/O-Level Certificates attached Matric Pass Certificate/ O-Level IBCC equivalence attached Intermediate Marksheet / A Level Certificates IBCC equivalence attached Candidate s Domicile attached Candidate s PRC attached Father s Domicile attached Father s CNIC attached Candidate s CNIC / B form attached Left hand thumb impression of Applicant Applicant s Signature Father s / Guardian Signature

3 Fill all boxes with your present address Phone (Res.): Phone (Off.): Mobile. : Phone (Res.): Phone (Off.): Mobile. : Phone (Res.): Phone (Off.): Mobile. : Phone (Res.): Phone (Off.): Mobile. :

4 IMPORTANT INSTRUCTIONS FOR CANDIDATES 1. Fill all the columns of application form in BLOCK LETTERS with BLACK PEN. 2. Be sure to tick the appropriate Box in the application form.. 3. Photocopies of all required documents must be attested by Govt. officer, grade 18 and above. 4. Photocopy of the application form and incomplete form will be rejected. 5. form will be accepted in any case after the last date and time of the application form. 6. Each application for admission should be accompanied by n Refundable Entrance Test Fee of Rs. 2,000/- (Rupees Two thousand Only) in the form of Paid Fee Voucher in UBL Baba-e-Urdu Road Branch, Karachi. 7. Carefully check the Required Documents list mentioned in the Application Form. 8. Specimen of undertaking will be given when the candidate is declared eligible for provisional admission. 9. The application form and required documents completed in all respect should be submitted to United Bank Limited, Baba-e-Urdu Road, Branch, Karachi. 10. If any eligible candidate has not received the admit card 48 hrs prior to the entrance test, he/she should contact DUHS help desk, mentioned in the Prospectus. 11. In case, their is any change in the date of Entrance test due to some unavoidable situation, it will be notified on the website of DUHS DO NOT submit the original documents alongwith the application form. 13. All queries should be sent on address mentioned on the Back page. 14. candidate should contact personally for any queries. 15. Daily visit the website of DUHS for announcement and informations. 16. Do not forget to keep the Photocopy of the application form in your own record. 17. Accommodation will not be provided to any candidate

5 , KARACHI ADMIT CARD FOR ENTRY TEST FOR ADMISSION IN IPM&R Doctor of Physical Therapy Bs. Occupational Therapy Roll. Bs. Prothetics & Orthotics Please Paste (1 x 1) Photograph Father s Postal Address: Tel : Mobile : For Official Use Signature of Candidate Date: Left Hand Thumb Impression of Candidate Time: Signature Venue: Seal te: See Instructions Overleaf, KARACHI ADMIT CARD ALLIED FOR ENTRY TEST FOR ADMISSION IN HEALTH SCIENCES IPM&R Doctor of Physical Therapy Bs. Occupational Therapy Bs. Prothetics & Orthotics Roll. DUHS Copy Father s Please Paste (1 x 1) Photograph Postal Address: Tel : Mobile : E.mail: For Official Use Signature of Candidate Left Hand Thumb Impression of Candidate Date: Time: Signature Venue: Seal

6 INSTRUCTION FOR THE CANDIDATE 1. If there is any change regarding Entry Test, venue or timings, it will be mentioned on DUHS website only. Keep visiting website daily Carefully read instructions for attempting test paper, otherwise computer will not read your answers. 3. Candidate must bring this Admit Card for the test, on the date, time and venue given overleaf. 4. CANDIDATE WILL NOT BE ALLOWED TO APPEAR IN THE TEST WITHOUT THIS ADMIT CARD. 5. Identification other than this Admit Card will be acceptable. 6. IMPERSONATION FOR THE ENTRANCE TEST WILL BE CONSIDERED AS A CRIMINAL CASE AND WILL BE DEALT SERIOUSLY. 7. Candidate is required to reach the venue at least two (02) hours before the test. 8. Any material or electronic device / mobile phone / calculator etc, will not be allowed, under any circumstances. 9. IF ANY STUDENT IS FOUND, USING UNFAIR MEANS OR CHEATING HE WILL BE DEBARRED FROM THE TEST AND ADMISSION.

7 Application Form Copy DUHS A/C Copy Collecting Branch Copy Applicant Copy Matric Roll : Matric Roll : Matric Roll : Matric Roll : FATHER FATHER FATHER FATHER te: The Fee amount should be deposited with the Application te: The Fee amount should be deposited with the Application te: The Fee amount should be deposited with the Application te: The Fee amount should be deposited with the Application