SIPMR

Sindh INSTITUTE OF PHYSICAL MEDICINE AND REHABILITATION

ONLINE ADMISSION FORM

Admission Form

Offered Programs
Preference 1:
Preference 2:
Preference 3:
Preference 4:
Personal Information
Full Name:
Sur Name:
Father Name:
Gender:
CNIC No. / B.Form:
Date of Birth:
Place of Birth:
Nationality:
Religion:
Email:
Phone No.
Mobile No.
Present Address:
Permanent Address:
Academic Information
Matriculation Board:
Institute Name:
City:
Seat No.:
Passing Year:
Total Marks:
Marks Obtained:
Intermediate Information
Intermediate Board:
Institute Name:
City:
Seat No:
Passing Year:
Total Marks:
Marks Obtained:
Required Documents (Upload limit: 3 MB each file)
Domicile (max file size: 3 MB):
PRC (max file size: 3 MB):
Father Domicile (max file size: 3 MB):
CNIC Front (max file size: 3 MB):
CNIC Back (max file size: 3 MB):
Matric Certificate (max file size: 3 MB):
Matric Transcript (max file size: 3 MB):
Intermediate Certificate (max file size: 3 MB):
Intermediate Transcript (max file size: 3 MB):
Photograph (max file size: 3 MB):
Father CNIC Front (max file size: 3 MB):
Father CNIC Back (max file size: 3 MB):
Equivalance Certificate O level (max file size: 3 MB):
Equivalance Certificate A level (max file size: 3 MB):
Fees Payment Information
Bank Name:
Bank Deposit Slip Number:
Account Title:
Copy of Paid Bank Deposit Slip (max file size: 3 MB):
Payment Date:
NOTE: After clicking on SEND button, please wait for a while. It will take some time to upload the data
depending on the files size and your internet connection speed.