Apply Online in Swat Institute of Rehabilitation & Medical Sciences

Student Admission Form

Campuses:*

Batches:*

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First Name:*

Last Name:

Gender:*

Date of Birth:*

Domicile:*

Religion:*

Mobile:

Email:*

Cnic Number:*

Blood Group:

Nationality:

Mother Tongue:

Medical History:

Student Image

Student Image:

Parent Detail

Father’s Name:*

Father’s Phone:*

Father’s Occupation:*

Father’s Cnic Number:*

if Guardian Is * Father’s Other

Parent / Guardian Details

Guardian Name:*

Guardian Relation:*

Guardian Occupation:*

Guardian Email:*

Guardian Phone:*

Guardian Address:*

Student Address Details

Country Name:*

Provinces:*

District Name:*

City Name:*

Current Address:*

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Miscellaneous Details

If is KMU CAT Test * Yes No

Previous College Name:*

Board Name:*

FSC Roll no:*

Fsc Marks:*

Document Details

Attach Fsc Mark Sheet: Max File size: 5MB

Attach Cnic Front Side: Max File size: 5MB

Attach Cnic Back Side: Max File size: 5MB