Online Admissions

APPLICATION FORM FOR ADMISSION IN
Docotr of Pharmacy (Pharm-D)
Session 2010 at
Dow College of Pharmacy
DOw University of Health Sciences, Karachi

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.