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Application Form
APPLICATION FORM
BLESSINGS COLLEGE OF NURSING | SUKKUR (ADMISSIONS IN DIPLOMA PROGRAMS, LHV/CNA/CMW)
(ADMISSIONS IN 2 YEARS DIPLOMA PROGRAMS) 2023-24
10-24-BCON-3
Personal Information ( ذاتی معلومات )
Program ( پروگرام جس کے لئے درخواست دی گئی )
--Select(منتخب کریں)--
Certified Nursing Assistant (CNA) (C)
Community Midwife (CMW) (B)
Lady Health Visitors (LHV) (A)
Please Select Program
Name ( آپکا نام )
Please Enter Full Name
Father's Name ( والد کا نام )
Please Enter Father's Name
CNIC ( شناختی کارڈ نمبر )
Please Enter CNIC without Dashes (-)
Please Enter 13 digits CNIC without Dashes (-)
Gender ( جنس )
--Select(منتخب کریں)--
Male
Female
Please Select Gender
(dd/mm/yyyy)
Date Of Birth (پیدائش کی تاریخ)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01
02
03
04
05
06
07
08
09
10
11
12
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Postal Address ( ڈاک کا پتا )
Please Enter Postal Address
Permanent Address ( مستقل پتا )
Please Enter Permanent Address
Postal District ( ضلع )
--Select(منتخب کریں)--
Badin
Dadu
Ghotki
Hyderabad
Jacobabad
Jamshoro
Khairpur
Karachi Central
Kashmore
Karachi East
Karachi west
Karachi South
Korangi
Larkana
Matiari
Mirpurkhas
Malir
Naushero Feroz
Kambar@SHD
Sanghar
Shikarpur
Shaheed Benazirabad
Sujawal
Sukkur
Tando Allahyar
Tharparkar
Tando M Khan
Thatta
Umerkot
Other
Mirpur
Bhimber
Kotli
Muzaffarabad
Jhelum valley
Neelum
Poonch
Bagh
Haveli
Sudhnati
Awaran
Kharan
Khuzdar
Kalat
Lasbela
Mastung
Washuk
Ziarat
Panjgur
Kech
Gwadar
Jafarabad
Jhal Magsi
Kachhi
Lehri
Nasirabad
Sohbat Pur
Nushki
Pishin
Quetta
Qilla Abdullah
Chagai
Dera Bugti
Harnai
Kohlu
Sibi
Zhob
Barkhan
Killa Saifullah
Loralai
Sherani
Musakhel
Astore
Diamer
Ghizer
Gilgit
Hunza
Nagar
Ghanche
Skardu
Kharmang
Shigar
Bannu
Lakki Marwat
North Waziristan
Dera Ismail Khan
South Waziristan
Tank
Torghar
Kolai Pallas
Upper Kohistan
Haripur
Mansehra
Lower Kohistan
Battagram
Abbottabad
Karak
Kohat
Kurram
Hangu
Orakzai
Shangla
Upper Dir
Swat
Chitral
Malakand
Lower Dir
Bajaur
Buner
Mardan
Swabi
Peshawar
Mohmand
Nowshera
Khyber
Charsadda
Bahawalnagar
Bahawalpur
Rahim Yar Khan
Rajanpur
Dera Ghazi Khan
Layyah
Muzaffargarh
Jhang
Chiniot
Faisalabad
Toba Tek Singh
Sialkot
Gujranwala
Gujrat
Hafizabad
Narowal
Mandi Bahauddin
Nankana Sahib[2]
Lahore
Kasur
Sheikhupura
Multan
Vehari
Khanewal
Lodhran
Jhelum
Chakwal
Attock
Rawalpindi
Sahiwal
Okara
Pakpattan
Mianwali
Khushab
Bhakkar
Sargodha
Islamabad
Kohistan
Chaman
Duki
Gawadar
Hub
Jaffarabad
Kechi
Qilla Saifullah
Surab
Please Select Postal District
Mobile Number (موبائل نمبر )
Please Enter Mobile Number
Please Enter 11 digits Mobile Number
E-mail ( ای میل )
Govt Servant ( کیاآپ گورنمنٹ ملازم ہیں )
--Select(منتخب کریں)--
Yes
No
Please Select Govt Servant
Religion ( مذہب )
--Select(منتخب کریں)--
Muslim
Non-Muslim
Please Select Religion
Disable ( کیا آپ معذور ہیں )
--Select(منتخب کریں)--
Yes
No
Please Select Disable
Desired Test City ( مطلوبہ امتحانی مرکز )
--Select(منتخب کریں)--
Karachi
Sukkur
Please Select Desired Test City
Province / State ( صوبہ )
--Select(منتخب کریں)--
Azad Jammu and Kashmir
Balochistan
Gilgit–Baltistan
Federal
Khyber Pakhtunkhwa
Punjab
Sindh
Please Select Province
Division ( ڈویژن )
Please Select Division
District of Domicile ( ڈومیسائل کا ضلع )
Please Select District of Domicile
Passport Size Photo ( پاسپورٹ سائز تصویر )
extension must be jpg or jpeg and size less than 40 kb(
Click Here
to Compress image)
Please Upload the Photo
Upload Bank Challan
extension must be jpg or jpeg and size less than 40 kb(
Click Here
to Compress image)
UPLOAD CNIC OR B-Form Photo
Please upload both side of CNIC Card (front and back). extension must be jpg or jpeg and size less than 40 kb(
Click Here
to Compress image)
>
MDCAT Roll No / Score
Only for BS Nursing
Academic Information ( تعلیمی معلومات )
Note:
STS will not issue Roll No Slips to those who have not given their academic record accordingly.
Write exact degree name & major subject mentioned in certificate/ transcript.
Candidates whose degree is not complete are not eligible to apply.
Write degree detail from lower to higher level qualification one by one.
Degree level
Degree Name
Board/University
Passing Year
Marks obtained/GPA
Total Marks/GPA
Percentage/GPA
Certification (سرٹیفیکیٹ)
Certificate Title
Board/University
Passing Year
Marks obtained/GPA
Total Marks/GPA
Percentage/GPA
Profesional Experience (پروفیشنل تجربہ)
Designation
Company/department
Start Date
End Date
Undertaking by the Applicant
I_____________________________ d/s/w of _________________________do hereby slomnly declared and affirm that i have read and understood the instructions and conditions for appearing in the test, and i have filled -up the application form as per instructions given below.in case of any information contained herein is found at any stage to be missing,untrue,false or gorged,my condidature can be cancelled at any stage (even after employment,if so revealed later),and is shall be liable to legal action
میں یہ اعلان کرتا/کرتی هوں اور اس بات کی تصدیق کرتا/کرتی ہوں کہ میں نے امتحان میں شامل ہونے کے لئے ہدایات اور ضوابط کو پڑھ لیا ہے اور اس کو سمجھ لیا ہے ، اور میں نے نیچے دی گئی ہدایات کے مطابق درخواست فارم پُر کیا ہے۔ یہاں دی گیی معلومات کسی بھی مرحلے پر کمی بیشی، غلطی، تبدیل کی گیی یا جعلی ہونے کی صورت پرمیری درخواست منسوخ کی جاسکتی ہے (ملازمت کے بعد بھی ، اگر بعد میں اس کا انکشاف ہوا) ، اور قانونی کارروائی کا ذمہ دار ہوں گی/گا۔
Note:
after submit online form you can't update your record (آن لائن فارم جمع کروانے کے بعد آپ اپنے ریکارڈ کو اپ ڈیٹ نہیں کرسکتے ہیں)
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