APPLICATION FORM

Reg. No.
To be Filled by NTS

NTS

MINISTRY OF NATIONAL HEALTH

SERVICES, REGULATIONS &
COORDINATION

Picture 1
Paste your recent
passport size color
photograph with gum

Screening Test to be for

Admission in MBBS / BDS

01. Bank Online Deposit of Rs: 650/- from Designated Bank Branches.
Deposit Date

Bank Code

*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy)

02. Desired College/ Institution: Fill the Box for Desired College / Institution. (Mandatory)
Federal Medical and Dental College FMDC
01.

(A public sector Medical & Dental College affiliated with

Shaheed Zulfiqar Ali Bhutto Medical University) Islamabad

02.

Shifa College of Medicine, Islamabad.

03.

Islamabad Medical & Dental College, Islamabad

04.

Yusra Medical & Dental College, Islamabad

05.

Rawal Institute of Health Sciences, Islamabad

06.

Fazaia Medical College, Islamabad

07.

Al-Nafees Medical College, Islamabad

08.

Islamic International Dental College, Islamabad

09.

Foundation University College of Medicine & Dentistry,

Islamabad.

10.

HBS Medical and Dental College, Islamabad

03. Desired Test City: Fill Only One Box

(Mandatory)

Subject to a minimum of 200 candidates, otherwise the candidates will be assigned next nearest test city.

01.

Isb/Rwp

02.

Lahore

03.

Faisalabad

04.

Multan

05.

Karachi

06.

Hyderabad

07.

Sukkur

08.

Abbottabad

09.

Peshawar

10.

Quetta

11.

Muzaffarabad

12.

Gilgit

04. Province of Domicile: Please see your Domicile Certificate and then fill Only One Box (Mandatory)
01.

Federal

02.

Punjab

03.

Khyber Pakhtunkhwa

04.

Balochistan

05.

Sindh (Urban)

06.

Sindh (Rural)

07.

AJK

08.

Gilgit Baltistan

09.

FATA

05. District of Domicile: Write Domicile of District Code & Name (Mandatory)
District Code

District Name

District Code List given on last page.

Personal Information: Use CAPITAL letters and leave spaces between words.
06. Name in Full:
07. Fathers Name:
08. Candidate CNIC #:
Write your own CNIC No. Or B Form No.

09. Gender:

Male

10. Date of Birth:

Female

Write your Correct Date of Birth

otherwise you will be rejected

1 9

11. Postal Address:

All correspondence will be made on this address though courier service or ordinary postal service.

City:
12. Phone No: (OFF)

District:

(RES.)

(Mobile)

City Code - Phone No

Mandatory

13. Is your Father or Mother Federal Government Employee?

Yes

14. What is the status of your result of HSSC / A Level Examination?

No

Result Awaited

Result Declared

15. Academic Information:

Note: 1. NTS will not issue Roll No Slips to those who have not filled in their academic record properly.
2. Candidate should convert their grades into marks. (O Level / A Level or any other degree having grade).
3. Write exact degree name & major subject mention in certificate / transcript.
4. Result awaited candidates can also apply subject to provision of result before admission in the relevant college.
Certificate /
Degree Name

Degree Title

Specialization /
Major Subject

Year
Passing

Obtained Marks / CGPA

Total Marks / CGPA

Board / University / Institute

SSC / O Level
(10 Years)

HSSC / A Level
(12 Years)

Undertaking By The Applicant:

I_____________________________ d/s/w of _________________________do hereby solemnly
declare and affirm that I have read and understood the instructions and conditions for appearing in
the NTS Test as elaborated on NTS website and I have filled-up the application form as per
instructions given below. In case, any information contained herein is found at any stage to be
missing, untrue or false, my candidature can be cancelled at any stage (even after admission, if so
revealed), and I shall be liable to legal action.

Picture 2
Affix your recent
passport size color
photograph
with Stapler

Date: _________ Thumb Impression ____________ Candidates Signature ________________

Please fill the Application Form properly with complete and correct information / answers.

Please DO NOT leave any field blank, otherwise your application may not be considered.

Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after employment,
and also proceeding of a legal action.
Attach your Two recent Passport Size Photographs, Copy of CNIC and Original Bank Deposit Slip (NTS Copy)

By Hand submission of Application Form is not allowed.

Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.

Last date for submission of application form is Tuesday

HELP LINE:
UAN
: +92-51-844-444-1
Website : www.nts.org.pk

20th September, 2016.

Please Send Application Forms to:

MNHS - R&C (Project)
National Testing Service
1-E, Street No. 46, Sector I-8/2, Islamabad.

District of Domicile:

(Please Do not attach this page.)

01. Federal:
Code District
101 Islamabad

02. Punjab:
Code

District

Code

District
Gujrat

Attock
Bahawalnagar

210

202
203

Bahawalpur

212

Hafizabad
Jhang

204

Bhakkar

213

205

Chakwal

214

206

Chiniot

207

Dera Ghazi Khan

208

Faisalabad
Gujranwala

201

209

Code District

Code District

219

Lodhran

228

220

Mandi Bahauddin

229

Rahim Yar Khan

Rajanpur

221

Mianwali

230

Rawalpindi

Jhelum

222
223

Multan
Muzaffargarh

231

Kasur

232

Sahiwal
Sargodha

215

Khanewal

224

Nankana Sahib

233

Sheikhupura

216

Khushab

225

Narowal

234

217

Lahore
Layyah

226

Okara
Pakpattan

235

Sialkot
Toba Tek Singh

236

Vehari

211

218

227

03. Khyber Pakhtunkhwa:

Code

District

Code
308

302

Abbottabad
Bannu

301

309

District
Hangu

Code District

Code District

314

Lower Dir

320

315

Malakand

321

Shangla
Swabi

303

Battagram

310

Haripur
Karak

316

Mansehra

322

Swat

304

Buner

311

Kohat

317

323

305

Charsadda

312

Kohistan

318

Mardan
Nowshera

324

Tank
Tor Ghar

306

Chitral

313

Lakki Marwat

319

Peshawar

325

Upper Dir

307

Dera Ismail Khan

Code

District
Kachi (Bolan)

04. Balochistan:
Code

District

402

Awaran
Barkhan

401

409
410

Code District

Code District

417

Lasbela

425

418

Lehri

426

Pishin
Quetta

403

Chagai

411

Kalat
Kech (Turbat)

419

Loralai

427

Sherani

404

Dera Bugti

412

Kharan

420

Mastung

428

405

Gwadar

413

Khuzdar

421

Musakhel

429

Sibi
Sohbatpur

406

Harnai

414

Killa Abdullah

422

Nasirabad

430

Washuk

407

Jafarabad
Jhal Magsi

415

Killa Saifullah

423

431

Zhob

416

Kohlu

424

Nushki
Panjgur

432

Ziarat

408

05. Sindh:
Code

District

Code
507

502

Badin
Dadu

501

508

District
Kambar & Shahdadkot

Code District

Code District

513

Matli

519

514

Mirpurkhas

520

Sukkur
Tando Allahyar

503

Ghotki

509

Karachi
Kashmore

515

Naushahro Firoze

521

Tando Muhammad Khan

504

Hyderabad

510

Khairpur

516

522

505

Jacobabad

511

Larkana

517

Sanghar
Shaheed Benazirabad

523

Tharparkar
Thatta

506

Jamshoro

512

Matiari

518

Shikarpur

524

Umerkot

06. Azad Jammu & Kashmir:

601

District
Bagh

602
603

Code

Code

District

604

Haveli

Code District
607

Muzaffarabad

Code District
609

Poonch

Bhimber

605

608

Neelum

610

Sudhnati

Hattian

606

Kotli
Mirpur

District

07. FATA / PATA:

District
Bajaur Agency

Code

701

705

North Waziristan Agency

709

FR Dera Ismail Khan

713

FR Tank

702

Khyber Agency

706

Orakzai Agency

710

FR Kohat

714

PATA

703

Kurram Agency

707

South Waziristan Agency

711

FR Lakki Marwat

704

Mohmand Agency

708

FR Bannu

712

FR Peshawar

Code

Code District

Code District

08. Gilgit Baltistan

Code

District

Code

District

801

Astore

804

Ghizer

Code District
807 Kharmang

802

Diamer

805

Gilgit

808

Nagar

803

Ghanche

806

Hunza

809

Shigar

Code District
810

Skardu

Building Standards in Educational and Professional Testing

Building Standards in Educational and Professional Testing

MINISTRY OF NATIONAL HEALTH SERVICES,

REGULATIONS & COORDINATION

MINISTRY OF NATIONAL HEALTH SERVICES,

REGULATIONS & COORDINATION

Date:

Branch Code:

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.

Six Hundred & Fifty 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:

650/-

217767828

*Note:

Applicants
Name:

Amount
Rs:

A/C
No.

650/-

Applicant Signature

Amount in
word: Rs.

Six Hundred & Fifty Rupees Only

Non Refundable/ Non Transferable

Cashier

Officer