NORTHWEST INSTITUTE OF HEALTH SCIENCES
Near Peshtakhara Chowk, Opp. Amin Masjid, Ring Road, Peshawar, KPK, Pakistan,
Ph: +92-91-5231605-6, Website: https://nwihs.edu.pk , Email: Info@nwihs.edu.pk
Admission Required:
Doctor of Physical Therapy (DPT) (5 Yrs)
Medical Lab Technology (MLT) (4 Yrs)
Medical Imaging Technology(MIT) (4 Yrs)
Anesthesia Technology (4 Yrs)
BSc Post RN Nursing (2 Yrs)
3x Passport Size
photographs duly
attested
▼
Paramedics (2 Yrs)
▼
Diploma in Anesthesia
Diploma in Ssurgical
Diploma in Pathology
Diploma in Pharmacy
Diploma in Dental
Diploma in Health
Diploma in Cardiology
Please tick (√ ) your Program
Personal Data: (Fill in Capital Letters)
Applicant’s Name:
Father’s Name:
Date
of
birth:
(dd-mm-yy).
Marital Status:
Married:
Gender: M:
F:
Unmarried:
Present address: _______________________________________________________________
Permanent address: _____________________________________________________________
District: _____________________________
Country: ___________________
Phone Res: ________________ Cell: ___________________Email: ____________________
Candidate’s Nationality:
______________________________
Father/Husband Name/Guardian name: ___________________________________
Father’s/ Husband Profession
_________________________
Father/Husband /Guardian Contact:______________________
In case of Emergency, please contact:
Name: __________________ address: ___________________________________________
Phone Res: ___________________ Cell: ___________________
Educational Information:
Passing
Year
Name of
Board
Institution Name
Annual/
Supply
Marks
Obtained
Total
Marks
Exam
Roll No.
%age
Marks obtained in ETEA: _________________
Do you want to avail Hostel Facility:
Yes
Do you want to avail Transport Facility:
No
Yes
No
Were you ever convicted in criminal proceedings in a Court of Law? If yes, attach brief account:
Certified that the facts produced are correct to the best of my knowledge
Signature of Applicant’s Father/ Guardian
Signature of the Applicant
CNIC:
-
-
CNIC:
-
-
________________________________________________________________________________
For Office Use Only
Remarks of Admission Committee:
INSTRUCTIONS FOR APPLICANTS
Attach attested photocopies of the following documents with the application form in the following sequence.
Check ( ) the relevant box for the attached documents.
Three passport size colored photographs of the applicant attested on the back.
Two copies of Detailed Marks Certificate on the basis of which admission is sought (F.Sc or equivalent)
An equivalency certificate, if the qualifying certificate is from a foreign country.
A copy of Secondary School Certificate Examination (Science)
Two copies of Domicile Certificate OR a copy of Computerized National Identity Card of the candidate or
Computerized Form B, copied on full size paper.
A copy of Computerized National Identity Card of applicant’s father OR Guardian / Mother, if father is not
alive.
A copy of attempt certificate from the Concerned BISE, if the period between SSC and FSc is more than two
sessions.
Undertaking on judicial stamp paper of Rs. 30/- duly attested by Notary Public/ Political Agent as per
specimen given in the prospectus/admission (only after getting admission)