Physical Therapy and Rehabilitation - Online Admission Form Step 1 of 5 20% INSTRUCTIONS• Fill all columns of the Admission Form in BLOCK LETTERS. • Be sure to tick Appropriate Box in the Admission Form. • Photocopies of all the documents must be attested by a Government officer of Grade 17 and above. • Incomplete form will be rejected. • No form will be accepted in any case after the last date of submission of the admission form. • Specimen of UNDERTAKING will be given when the candidate is declared eligible for admission. • DO NOT submit original documents. • All queries should be sent on the given email address/telephone numbers.Application NumberFull Name*Date* Father/Guardian’s Name:*Date of Birth* Gender*MaleFemaleC.NIC No/B.Form No:** Street Address City State / Province / Region ZIP / Postal Code Phone No. (Res)*Mobile No. (Res)*Email Address: Academics Qualification:Matriculation/O Levels/EquivalentSubject*YearMarksGrade*Name on Insitute*Intermediate/A Level/EquivalentSubject*YearMarksGrade*Name on Insitute* PARTICULARS OF PARENTS/GUARDIANName:*Gender*MaleFemaleMarital Status*Relationship with Candidate*CNIC*Nationality*Religion*Current Address:*Permanent Address:*Phone No. (Res)MobileEmail*Parents/Guardian’s Profession*Organization*Highest Education Level*DECLARATION:I Solemnly declare that I have read the rules and regulations of the Institute and I Shall abide by them and that if I violate the disciplinary rules of the institute, the institute reserves the right to inform my parent/guardian and ask me to leave the Institute Signature of the Student *Signature of Parent/Guardian * UPLOAD DOCUMENTSMatric/O-Levels Marks sheet Attached*Accepted file types: jpg, gif, png, pdf.Matric/O-Levels Certificate Attached*Intermediate/O-Levels Marks Sheet Attached*Accepted file types: jpg, gif, png, pdf.Intermediate Character Certificate Attached*Accepted file types: jpg, gif, png, pdf.Candidate’s Domicile Attached*Accepted file types: jpg, gif, png, pdf.Candidate’s PRC Attached*Accepted file types: jpg, gif, png, pdf.4x Passport Size Photographs Attached*Accepted file types: jpg, gif, png, pdf.Parents/Guardian’s CNIC Attached*Accepted file types: jpg, gif, png, pdf.Candidate’s CNIC/B form Attached*Accepted file types: jpg, gif, png, pdf. Prospectus FeeNOTE: 1- First of all kindly download this prospectus fee voucher and submit in any UBL bank nearby you. 2-After submission the prospectus fee voucher in any UBL bank kindly uploads the paid prospectus fee voucher snap and bank official receipt in the next step. 3- Kindly deliver the paid prospectus fee voucher and bank official receipt to the given address below. Shahrah-e-Firdousi, Plot #GPC-12, Block 5, Clifton, Karachi-75600. Adjacent BBQ Tonight. Download Voucher Prospectus FeeUpload paid prospectus fee voucher snap*Accepted file types: jpg, gif, png, pdf.Upload bank official receipt snap*Accepted file types: jpg, gif, png, pdf.PhoneThis field is for validation purposes and should be left unchanged.