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Mti College of Nursing Mardan Bacha Khan Medical College Mardan

This document contains an admission form for the 2019 session at MTI College of Nursing in Mardan. It requests information such as name, date of birth, address, academic qualifications, and guardian details from applicants. Applicants must select whether they are applying for the 4-year generic BSCN program or the 2-year post-RN BSCN program. The form states that attested copies of documents like academic transcripts, CNICs, and photographs must be attached for the application to be considered complete. Additional documents are required for post-RN and post-graduate nursing applicants, such as copies of nursing diplomas and licenses.

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148 views

Mti College of Nursing Mardan Bacha Khan Medical College Mardan

This document contains an admission form for the 2019 session at MTI College of Nursing in Mardan. It requests information such as name, date of birth, address, academic qualifications, and guardian details from applicants. Applicants must select whether they are applying for the 4-year generic BSCN program or the 2-year post-RN BSCN program. The form states that attested copies of documents like academic transcripts, CNICs, and photographs must be attached for the application to be considered complete. Additional documents are required for post-RN and post-graduate nursing applicants, such as copies of nursing diplomas and licenses.

Uploaded by

Anonymous EM8afep
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MTI COLLEGE OF NURSING 4MARDAN

PASSPORT
BACHA KHAN MEDICAL COLLEGE SIZE
MARDAN PICTURES
ADMISSION FORM FOR SESSION 2019

Mark the appropriate Program in which you want to seek admission

□GENERIC BSCN (04yrs) □POST RN BSCN (02 yrs)


Name:_____________________________ Father /Husband Name: __________________________
(As per SSC or equivalent certificate in BLOCK letters)

Date of birth (YY/MM/DD):_____/__ ____/______ Age:_____________ Gender: M / F

Married/Unmarried: _________ Domicile:___________________ Nationality:_____________

Address:______________________ ____________________________________________________

Phone: (Res) ____________________ (Cell)____________________ Email:_____________________

Permanent address: _________________________________________________________________

In case of emergency please contact

Name:_________________________Address:____________________________________________

_________________ Cell No _____________________Phone:_______________________________

Academic Qualification
Qualification Year of Marks Total Percentage Name of
passing Obtained marks Board

Matric

F.Sc Pre-Medical
Others

Professional Qualification for Post RN BSN


Diploma in General Nursing 1st
Year
Diploma in General Nursing
2nd Year
Diploma in General Nursing 3rd
Year
Diploma in Midwifery/Specialty
(For Post RN BScN Candidate)
Any other qualification
Specify____________________

Guardian’s Name:____________________________ Income & Occupation: ___________________

____________________ Exact Relationship with the Guardian:______________________________


Certified that the facts produced are correct to the best of my knowledge:

_____________________________________ _________________________________
Signature of the Applicant’s Father/Guardian Signature of the Applicant
CNIC No:_____________________________ CNIC No.______________________
Date: ________________________________ Date: _________________________

Note: Attested copies of the following documents must be attached with the application form in
the following sequence, incomplete application will not be entertained.

Tick the relevant box for the attached documents

 A copy of Secondary School Certificate Examination (Science/Equivalent).


 A copy of Higher Secondary School Certificate Examination (FSc: Pre-Medical)
 A copy of domicile certificate
 National Identity card of the candidate
 A copy of computerized National Identity Card of the father/guardian.
 Four passport size colored photographs of the applicant attest on the back.

Additional Documents for Post RN and Post Graduate Nursing Diploma candidates:
 A copy of diploma in general nursing attested by the respective Examination Board
 A copy of diploma in midwifery, attested by the respective Examination Board
 A copy of diploma in any specialty, attested by the respective College of Nursing (male)
 A copy of DMC in general nursing, attested by the respective Examination Board
 A copy of DMC in midwifery, attested by the respective Examination Board
 A copy of DMC of respective specialty, attested by the respective nursing college (male)
 A copy of current PNC Registration
 A copy of NOC from concern department

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