AAS(MRT) Karachi Institute of Radiotherapy & Nuclear Medicine PAKISTAN ATOMIC ENERGY COMMISSION KIRAN: Haider Bux Gabol Road, Near Safoora Goath, Off: Univervesity Road, Gulzar-e-Hijri KDA-Scheme-33, Karachi. Phone: 021-99261601-04 Ext: 212 Website: www.paec.gov.pk APPLICATION FORM – 2015-2017 Roll NO. ____________________ Associate of Applied Science in Medical Radiation Technology at KIRAN Hospital, Karachi (to be filled by Office) (Read instruction before filling the form) 1. NAME: Paste / Staple one Recent Photograph here (AS APPEARED IN MATRIC CERTIFICATE) 2. FATHER’S NAME: 3. NATIONALITY: 4. DATE OF BIRTH: / DAY 5. RELIGION: ______________________ ADDRESS: ( e.g. SUNNI / SHIA / . . ) - CNIC NO.: YEAR 6. SECT : ____________________ 7. DOMICILE/PRC: ______________________ ( e.g. MUSLIM / CHRISTIAN / AHMEDI / ...) 9. / MONTH - _______________________________________________________________________________________________ 10. PTCL No. : ________________________ CELL No.:____________________________ E-mail: 11. DETAILS OF EDUCATIONAL QUALIFICATIONS: CERTIFICATE NAME OF BOARD YEAR OF PASSING DIVISION / GRADE % MARKS S.S.C. or equivalent H.S.C. or equivalent 12. BANK DRAFT NO. : DATED:____________ NAME OF BANK : 13. DECLARATION, I hereby affirm that the information given in this application is true and correct to the best of my knowledge and I fully understand that any mis-representation by me will be sufficient cause for cancellation of this application or immediate dismissal later on even if I have been accepted for the course. If my application is accepted, I will abide by all the rules and regulations now in force, or which may become effective after I join. Applicant's Signature and date FOR OFFICE USE ONLY Remarks: . Checked by: Karachi Institute of Radiotherapy & Nuclear Medicine PAKISTAN ATOMIC ENERGY COMMISSION AAS(MRT) KIRAN: Haider Bux Gabol Road, Near Safoora Goath, Off: Univervesity Road Gulzar-e-Hijri KDA-Scheme-33, Karachi. Phone: 021-99261601-04 Ext: 212 Website: www.paec.gov.pk ADMIT CARD WRITTEN TEST, AAS, SESSION 2015-2017 Roll No. ______________________ (to be filled by Office) , Name: Paste / Staple one Recent Photograph here Father’s Name: - CNIC No.: - Address: _____________________________________________________________ Signature of the candidate: Date______________ Time______________ Admission Cell 1. You must bring following on the test day: Admit Card Original CNIC Clipboard Calculator Black Pointer/Marker 2. Candidates who do not appear in the Written Test will stand disqualified and must not contact this office. 3. This call does not in any way waive your ineligibility, disqualification if warranted, nor does it condone any deficiency in your application or documents. Your case will not be considered until all notified conditions are fulfilled including the result of your final examination. 4. This Admit Card portion, after processing of Application Form will be sent to you in the self-addressed envelope provided by you. KIRAN does not accept any liability for the late or non-delivery of this letter. 5. MOBILE PHONES are strictly prohibited at the test centre on the test day. Switch off the mobile phone and keep it in pocket/bag. Use of mobile as calculator is not allowed. 6. Calculators are allowed but borrowing of calculator is not allowed. 7. Candidate will not be allowed to leave the examination hall before half the time is lapsed. For any further details / information, 99261601-04 Ext: 212 AAS DEGREE PROGRAM (MEDICAL RADIATION TECHNOLOGY) INSTRUCTION FOR APPLICANTS AAS(MRT) PGTP Karachi Institute of Radiotherapy and Nuclear Medicine(KIRAN) offers two-year degree program in Medical Radiation Technology in collaboration with Dow University of Health Sciences, Karachi The program will include four semesters of class room teaching, lab work and project work. Passing in all four semesters is mandatory. 1. Qualification Required & Selection Criteria Open Merit for both Males & Females. All eligible applicants must have a minimum qualification of Intermediate Science or equivalent with combinations of Physics/Chemistry/ Biology or Physics/Chemistry/ Maths. Candidates, obtaining aggregate marks, less than 60% in intermediate science or equivalent examination are NOT eligible. Selection will be based on the written test followed by Interview. AGE LIMIT Maximum age is 20 years on 01-03-2015. 2. APPLICATION PROCEDURE 1) Please send us: Completely filled Application Form and Admit Card. We will return Admit Card along with the addresses of the Test centre after processing the application. Application Form must be filled in legible hand writing / printed form. The fee amounting Rs. 1500/- may be deposited through Bank Draft / Pay Order in favor of Sr. Accounts Officer, KIRAN, Karachi (Original Bank Draft to be attached with Application Form.) Two self-addressed envelopes (size at least 9" x 7"). Two recent passport size photographs (one pasted on Application Form and one on Admit Card). 2) Attach photocopies of your certificates, marks sheets. 3) You must keep a photocopy of the Application form and the bank draft with you. It may be required later. 4) Candidates presently serving in Government/Autonomous/Semi-Autonomous Organisations must apply through proper channel. 3. SELECTION PROCEDURE After processing of the Application, the Admit Card will be returned only to the eligible candidates to appear in the Written Test. Candidates may see the status of their application at our website. Time & addresses of the test centres will be sent with the Admit Card and can also be seen at our website. If your name is on our website, but you have not received Admit Card, you may come to the test centre with photocopy of your form, bank draft and original CNIC to appear in the Written Test. No TA/DA will be admissible for appearing in the test or interview. 4. LAST DATE FOR APPLICATION Application Form/Admit card portion duly completed along with the required Bank Draft/Pay Order must reach the following address not later than 30th Jan 2015. Head, Admission Cell Karachi Institute of Radiotherapy & Nuclear Medicine KIRAN: Haider Bux Gabol Road, Near Safoora Goath, Off: Univervesity Road, Gulzar-e-Hijri KDA-Scheme-33, Karachi. Phone: 021-99261601-04 Ext: 212 Website: www.paec.gov.pk