Admission Form

A4 size

     Qaidabad(Khushab)Paramedical &Technical Institute Islamabad

Distance Learning, competency& Regular Studies

Admission Form

Form No,______________                                      Registration ,__________________

Name of Course, _____________________            RPL,RL,­­­­­­­­­­­­­­­__­­____________________

Diploma Recorded,TTBkpk.SDC,SDA,NTB,FO     Diploma Duration,______________

 Full Name ______________________________________________________________

Father/Husband Name_____________________________________________________

Date of Brith_______________ Sex________________Martial Status______________

Mobile No ________________________CNIC No_____________________________

Domisile,__________________________

PostalAdress____________________________________________________________

________________________________________________________________________

Attaché Attested Photocopies of Degrees

Qualification	School/College	Board/University	Year	Roll No	Marks Obtained	Div, %
Matric
Inter/DAE
BA/BSC/Btech
MA/MSC
Other

Experience/ Trad ____________Organization_______________ Total Period______

 Date,____________                 Signature of Student __________________ SG of Amin