Karachi Institute of Health Sciences

Student Registration

Batch :	2024-2025	Session :	Jul-Dec-24
Program :	Bachelor
Stream :	Physical Therapy	Shift :	Morning
Info Source :		DATE OF REGISTRATION :	15 Nov 2024

1. Personal Information

First Name*

Middle Name

Last Name

Upload Image

Gender*

Date of Birth*

Place of Birth

Nationality*

Religion*

Martial Status*

Mobile No.

Telephone No.

Email*

Passport No

Language Spoken

Blood Group

Language Test Result

IQ Test

Internship Days

Last Result

Language Proficiency

Language	Reading	Writing	Speaking

2. Contact Details

Present

Address 1. *

Address 2.

Country*

State*

City*

Area *

Postal Code

Permanent Same as Present Address

Address 1.	Address 2.	Country	State

City	Area Chak No 136 F B Area 401 Faruqa Azam Colony Shadman Town Karachi Korangi Block 9 Nazimabad Number 1 Fbarea Karachi Jacobline Thul 79100 Muslimabad Mehmoodabad Sian Malowali Malowali Sian Bhansigabad Shahra Faisal Near To Dr Asrar Ahmed Upper Chitral Lone Gulshan E Iqbal North Karachi Saddar New Karachi FB AREA	Postal Code

3. Academic Information

Degree/Certificate	Major	Institute's Name	Board/University	Year	Percentage/CGPA	Grade/ Division	Result Status


Extra Curricular Activities

Physically Challenged

Siblings

4. Parents Detail

Father Name

Occupation

Designation

Organization

Address

Country

State

City

Area

Postal Code

Social Security No./CNIC

Education

Tel: No.

Fax No.

Mobile No.

Email Address

Mother Name

Occupation

Designation

Organization

Address

Country

State

City

Area

Postal Code

Social Security No./CNIC

Education

Tel: No.

Fax No.

Mobile No.

Email Address

5. Emergency Contact Details

Name	Relation	Mobile No.	Tel: No.	Fax No.	Email Address

Address	Country	State	City	Area	Postal Code
				Chak No 136 F B Area 401 Faruqa Azam Colony Shadman Town Karachi Korangi Block 9 Nazimabad Number 1 Fbarea Karachi Jacobline Thul 79100 Muslimabad Mehmoodabad Sian Malowali Malowali Sian Bhansigabad Shahra Faisal Near To Dr Asrar Ahmed Upper Chitral Lone Gulshan E Iqbal North Karachi Saddar New Karachi FB AREA

Have you ever been dismissed / expelled and / or required to withdraw from School for any reason? Please explain if Yes	Yes No

Have you ever been convicted of crime? Please explain if Yes	Yes No

Matric Marks Sheet.	Matric Certificate.	Birth Certificate.
Domicile.	FSc Marksheet.	Father CNIC.
Student CNIC.