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1B SC MLT Admission Form With Challan Form

This document contains an admission form for the B.Sc (Hons) Medical Laboratory Technology course at Allama Iqbals Medical College/Jinnah Hospital in Lahore. The 4-year degree program is affiliated with the University of Health Sciences Lahore. The admission form requests personal information such as name, father's name, gender, date of birth, religion, ID card number, addresses, contact numbers. It also asks for academic history including examination results and qualifications. Required documents including photographs, certificates and fee payment receipt must be attached with the completed form.

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Muhammad Hassan Ahmad
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668 views3 pages

1B SC MLT Admission Form With Challan Form

This document contains an admission form for the B.Sc (Hons) Medical Laboratory Technology course at Allama Iqbals Medical College/Jinnah Hospital in Lahore. The 4-year degree program is affiliated with the University of Health Sciences Lahore. The admission form requests personal information such as name, father's name, gender, date of birth, religion, ID card number, addresses, contact numbers. It also asks for academic history including examination results and qualifications. Required documents including photographs, certificates and fee payment receipt must be attached with the completed form.

Uploaded by

Muhammad Hassan Ahmad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ALLAMA IQBAL MEDICAL COLLEGE/

JINNAH HOSPITAL, LAHORE.


B.Sc (HONS) MEDICAL LABORATORY TECHNOLOGY
AFFILIATED WITH UNIVERSITY OF HEALTH SCIENCES, LAHORE.

ADMISSION FORM FOR B.Sc (HONS) MEDICAL LAB TECHNOLOGY COURSE SESSION 2018-2021.
(4 YEARS DEGREE PROGRAMME) Form No.________
A. PERSONAL DATA
1. Name:- _____________________________________________________
( IN BLOCK LETTERS)
2. Fathers Name: ______________________________________________ PHOTOGRAPH

D M Year
3. Gender_____________ (4) Date of Birth:

Y M D
5. Age ( on last date of submission of application)

6. Religion:_____________________

7. Domicile:__________ (8) I.D. Card No:

09.(a) Present Address:_________________________________________________

(b) Permanent Address:_____________________________________________

(c) Phone No.________________________ (d) Cell No.___________________

10. Father CNIC No.

(a) Occupation:________________________________________________

(b) Office/Job Address:_________________________________________

(c) Phone No (Residence)________________(d)Phone No (Job)________

(e)Cell No ____________________(f) Fax # _____________________________

11. Guardians Name:_______________________________________________

(a) Guardians CNIC No.

(b) Exact relation with the applicant:____________________________

(c) Occupation:_______________________________________________

(d) Office/Job Address:________________________________________

(e) Phone No.(Residence)________________(f)Phone No (Job)_______

(g)Cell # ______________________(h) Fax # _______________________________

Receipt No. Form No. Dated


Documents Received
1. Two recent Photographs.
2. Copy of Secondary School Certificate.
3. Copy of Intermediate Certificate.
4. Copy of Diploma.
5. Copy of applicants Domicile Certificate.
6. Copy of Character Certificate.
7. Copy of CNIC/Form B.
Authorized Signature
2. Father/Guardians Income:______________________________________

(a) Annual Income from all sources Rs:___________________________

(b) Income Tex paid during the previous year Rs.____________________

B. ACADEMIC DATA
(a)
Examination Board/ Year of Total Marks No of % age
Passed University Passing Marks Obtained attempts
Matric /SSC

Intermediate/
HSSC
Diploma In
Lab
Technology
From NIH
Islamabad

(b)Any other information:_________________________________________

(c)Additional Qualification: _________________________________________


(including Hafiz Quran etc.)

C. DECLARETION
I hereby declare that the above mentioned information is correct
according to the best of my knowledge. If anything found to be incorrect I will
be held responsible.

Date:_________________ SIGNATURE OF APPLICANT

D. Following Documents must be attached with application form.

1. Two attested passport size current Photographs.


2. Attested Copy of Secondary School Certificate.
3. Attested Copy of Intermediate Certificate.
4. Attested Copy of Diploma. (If applicable)
5. Attested Copy of applicants Domicile Certificate.
6. Attested Copy of Character Certificate.
7. Attested Copy of NIC/Form B.
8. Original Bank Receipt of Rs. 500/- (Application Processing Fee)

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