APPLICATION FORM FOR ADMISSION IN
ALLIED HEALTH SCIENCES (SESSION 2010)
AT DOW UNIVERSITY OF HEALTH SCIENCES
FOR FOUR (4) YEAR BACHELORS DEGREE IN:

1) Medical Technology (Clinical Pathology, Critical Care, Operation Theatre & Ophthamology) from Institute of Medical Technology(IMT)
2) Occupational Therapy from Institute of Physical Medicine & Rehabilitation, (IPMR)
3) Dental Technology and Dental Hygienist from School of Dental Care Professionals, (DCP)

Online Application Form Step 1 of 2.
Please Do Not Print This Form
Fill The Form and Press "Submit Application Form" Button.
PARTICULARS OF APPLICANT
Application No.
(As printed on Application form,
You must get it from UBL Bank)
Name of Applicant
Father's Name
Date of Birth Day:   Month:    Year: 
Birth Location
Birth Country
National ID No. Or "B" Form No
Marital Status Single: Married:
Religion
Gender Male: Female:
Home Address (Present)
Home Address (as mentioned in CNIC)
Tel No
Mobile No
Email Address
Candidate's
Father's
Guardian's
Domicile PRC Domicile PRC Domicile PRC
Certificate No:

District Name:

Date of Issue:

Place of Issue:



Certificate No:

District Name:

Date of Issue:

Place of Issue:
Certificate No:

District Name:

Date of Issue:

Place of Issue:
Certificate No:

District Name:

Date of Issue:

Place of Issue:
Certificate No:

District Name:

Date of Issue:

Place of Issue:
Certificate No:

District Name:

Date of Issue:

Place of Issue:

ACADEMIC RECORD OF APPLICANT

School Information
School System Matric O Level
Name of School
Address of School
School Country
School Board Karachi Federal Cambridge Edexcel Aga Khan
Matric / O Level Passing Year
Marks Obtained in Matric/ O Level
Total Marks (Maximum Marks) e.g 850 etc
College Information
College System Inter Science A Level
Name of College
Address of College
College Country
College Board Karachi Federal Cambridge Edexcel Aga Khan
Marks Obtained in Inter Science/ A Level , write NA in case of A Level
Total Marks (Maximum Marks) e.g 1100 etc, write NA in case of A Level
Total Theory Marks in
Chemistry  
Physics     
Biology/Math
*For Inter Science, Please write theory marks.
** For 'A' Level write Percentage multiply by 2(% X 2), according to IBCC formula of grades (A=85%, B=75%, C65%).
Particulars of Father/Mother/ Guardian
Name
Relationship with Candidates
National ID No.
Tel No.
Mobile No.
Email:

Please review your application before submit.
 
 
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