Registration No.

To be Filled by NTS

REGISTRATION FORM

NTS

Picture
Paste your 2
recent
passport size
color
photographs
with Stapler

Ministry of Inter Provincial

Coordination (IPC Division)
MBBS / BDS Courses In Bangladesh
Academic Year 2016
A keyword (only 4 Digits) provided by the candidate to
submit correction query later for correction in provisional
candidate list on the NTS website

*. Authentication Keyword

Bank Online Deposit of Rs: 800/- from Designated Bank Branches.

Deposit Date

Bank Name & Code

*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy) having Bank Stamp on slip.

2. Desired Test City

Fill Only One Box for Desired Test City (Mandatory)

(Subject to a minimum of 200 candidates, other wise the candidates will be assigned next nearest test city)

1.

Islamabad

3.

Karachi

5.

Quetta

2.

Lahore

4.

Peshawar

6.

Multan

Personal Information:

7.

Faisalabad

Use CAPITAL letters and leave spaces between words.

3. Name in Full:
4. Fathers Name:
5. Candidate CNIC# :

6. Gender:

Mandatory (write your own CNIC No also attached the photocopy of your CNIC. Other wise you are not Eligible )

7. Date of Birth:

Write your Correct Date of Birth

other wise you will be rejected

1 9

8. Email:

9. Postal Address:
(All correspondence will be made on this address)

Postal City
District:

City:
10. Phone No:

(OFF.)

(RES.)

(Mobile)

(City Code - Phone No)

11. Place of Birth:

Country of Birth:

12. Pasport No:

Date of Issue:

Nationality:
Any other travel
document:
Nationality:

13. Name of guardian:

14. Address of guardian:
15. Name & Address of person to be notified in case of emergency:
(A). In Bangladesh:
(B). In Country of Domicile:
16. Have you applied for admission in any
educational institute in Bangladesh:

Yes

17. Name of the course to which admission is sought:

Note Candidate who desires to be considered for more than one
course should submit separate application for each course

No
MBBS

If yes, give year & decision,

if any communicated to you

BDS

Male

Female

18. Domicile Fill Only One Box for Desired Domicile

(Mandatory)

1.

Punjab

4.

Sindh Urban

6.

AJK

2.

Khyber Pukhtoonkhwa

5.

Sindh Rural

7.

Fata Fana

3.

Balochistan

19. Academic Information:

(Please attached your required document)

Note: 1. NTS will not issue Roll No Slips to those who have not given their academic record accordingly.
2. Physics, Chemistry & Biology as your major subject in HSSC (Pre-Medical) or equivalent.
3. Result awaiting candidates are not eligible.
Certificate /
Degree Level

Degree Name

Major Subject

Year
Passing

Obtained
Marks/CGPA

Total
Marks/CGPA

Institute/Board

SSC/ O-Level
(10 Years Degree)

HSSC/ A-Level
(12 Years Degree)
?
Please write you obtained / total marks in the subject of Biology in F.Sc Pre-Medical or

Equivalent Examination.

20. Proficiency of Language:

Reading

Language

Excellent

Good

Writing
Fair

Excellent

Speaking

Good

Fair

Excellent

Good

Fair

21. Cross check of basic criteria:

A. I have passed my SSC or equivalent exam not before year 2012?

Yes

No

B. I have secured more than 80% aggregate in SSC & HSSC or equivalent exam?

Yes

No

C. Have you secured 65% marks in the subject of Biology in F.Sc or equivalent examination?

Yes

No

Undertaking By The Applicant:

I_____________________________ d/s/w of _________________________do hereby solemnly affirm that I
have read and understood the conditions for appearing in the NTS Test and that I have filled the form as per instructions
given above and in the event any information contained herein is found to be untrue, I shall be liable to disciplinary action
which may result in cancellation of my test.
Date: ________________

Signature of the Candidate:__________________

Attach your Two Recent Passport Size Photograph, CNIC copy and Original Bank
?
Deposit Slip (NTS Copy).
?
By Hand submission of Application Form is not allowed.
?
Mobile Phones are not allowed in Test Center premises.

Help line:
UAN: +92-51-844-444-1
Website: www.nts.org.pk

?
Application should reach NTS office latest by last date of submission of application
form.
?
NTS will not be responsible for late receiving of application through courier / Pakistan
Post etc.
?
Application received on Friday, 4th September 2015 will not be entertained by NTS.

Schedule of Test
Test Date:

Sunday, 27th September 2015

Last Date of submission Application form:

Thursday, 3rd September 2015

Send Application Forms to:

Bangladesh Medical (Project)

National Testing Service

1-E, Street No. 46, Sector I-8/2,
Islamabad.

Building Standards in Educational and Professional Testing

Building Standards in Educational and Professional Testing

Ministry of Inter Provincial Coordination (IPC Division)

Date:

Branch Code:

Ministry of Inter Provincial Coordination (IPC Division)

Date:

Branch Code:

Branch Name:

Branch Name:

ONLINE DEPOSIT SLIP

(* Please deposit fee in only one bank & tick the relevant bank)

Muslim Commercial Bank

Allied Bank Limited

Muslim Commercial Bank

Allied Bank Limited

(Formely: Allied Bank of Pakistan Limited)

(Formely: Allied Bank of Pakistan Limited)

Remote
I-8 Markaz Branch Islamabad (0140947)
Branch:
A/C
A/C
Title: NTS-Pakistan-Collection No. 0010008325640018

Remote
Branch:
A/C
Title:

I-8 Markaz Branch, Islamabad (1501)

A/C
No.

Remote
I-8 Markaz Branch Islamabad (0140947)
Branch:
A/C
A/C
Title: NTS-Pakistan-Collection No. 0010008325640018

Remote
Branch:
A/C
Title:

I-8 Markaz Branch, Islamabad (1501)

Note: Bank Service Charges Free of Cost

A/C
647943831003775
No.
Note: Bank Service Charges Free of Cost

Remote H9 Shalimar Recording Co ISB (1742)

Branch:
A/C
A/C
No. 17427900464503
Title: NTS-Pakistan

Remote
Branch:
A/C
Title:

Remote H9 Shalimar Recording Co ISB (1742)

Branch:
A/C
A/C
No. 17427900464503
Title: NTS-Pakistan

Note: Bank Service Charges Free of Cost

Note: Bank Service Charges Free of Cost

Note: Bank Service Charges Free of Cost

647943831003775
Note: Bank Service Charges Free of Cost

Remote
Branch:
A/C
Title:

NTS-Pakistan

NTS-Pakistan

LTD

LTD

THE POWER TO LEAD

Cantt Br Kashmir Road Rawalpindi (0041)

NTS- Pakistan

A/C
No.

217767828

Note: Bank Service Charges Free of Cost

THE POWER TO LEAD

*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original
Deposit Slip (NTS Copy) along Application Form to NTS Office
a
Application Form will not be entertained without Original Deposit Slip (NTS Copy)

Cantt Br Kashmir Road Rawalpindi (0041)

NTS- Pakistan

Father
Name:

Father
Name:

CNIC No/
B Form No:

CNIC No/
B Form No:

Applicant Signature

Amount in
word: Rs.

Eight Hundred Rupees Only

Amount
Rs:

Non Refundable/ Non Transferable

Cashier

Officer

Note: Bank Service Charges Free of Cost

1. Please Stamp both copies of deposit Slip.

2. The Bank Must Return NTS Copy to the Candidate.
3. Deposit Slip will not accepted without Candidate CNIC/ B Form No.
Applicants
Name:

800/-

217767828

*Note:

Applicants
Name:

Amount
Rs:

A/C
No.

800/-

Applicant Signature

Amount in
word: Rs.

Eight Hundred Rupees Only

Non Refundable/ Non Transferable

Cashier

Officer