PIHRO UNDERGRADUATE SCHOLARSHIP PROGRAM

APPLICATION FORM
Phone #: 051-2375081 Email: info@ots.org.pk Website: www.ots.org.pk
*Note: Registration Form will not be entertained without Original Deposit Slip or Bank Draft.

1. Bank Online Deposit of Rs: 750/- from Designated Bank Branches.

Branch, City Bank Alfalah Account Title Account # Branch, City Account Title Account # F11 Markaz, Islamabad Open Testing Service 0263-1003700387 F11 Markaz, Islamabad Open Testing Service 0635778151001900
Deposit Date ---------------------Deposit Date ----------------------

Muslim Commercial Bank (MCB)

1 Passport size Recent Photograph

2. Desired Test City Fill Only One Box for Desired Test City (Mandatory)
Subject to a minimum of 200 candidates, otherwise the candidate will be assigned next nearest test city.

Abbottabad Bannu Gilgit Kohat Mianwali Peshawar Sialkot

Attock Chitral Gujranwala Lahore Multan Rahim Yar Khan Vehari

Bahawalnagar Dera Ismail Khan Gujrat Malakand Okara Sahiwal Karachi

Bahawalpur Faisalabad Islamabad Mardan Parachinar Sargodha

3. Personal Information (Fill in Block Letters)

Name in Full: ____________________________________________________________________________________ Candidate CNIC# or B-Form #: Date of Birth: (D/M/Y) ___________________________________________

Father Name: ___________________________________________________________________________________

Postal Address: __________________________________________________________________________________ Phone #: ____________________ Cell # 1: ________________________ Cell # 2: ________________________

________________________________________________________________ City: __________________________

Email: _________________________________________________________________________________________

4. Academic Information
Certificate/Degree Major Subjects Year of Passing Obtained %age Board/University School/College Name & City

SSC / O-Level HSSC / A-Level Bachelor 1. 2. 3.

5. Undertaking by Applicant
I d/s/w of do hereby solemnly affirm that I have read and understood the conditions for appearing in the PIHRO Undergraduate Scholarship Test and that I have filled the form as per instructions given above and in the event any information contained herein is found to be untrue, I shall be liable to disciplinary action which may result in cancellation of my test. Date: . Signature: .

Instructions: Deposit Rs 750/- non-refundable/Transferrable as Registration fee in Open Testing Service online Account given below: Account Title: Account Number: Bank: OR Account Title: Account Number: Bank: Open Testing Service 0263-1003700387 Bank Alfalah, F11 Markaz, Islamabad. Open Testing Service 0635778151001900 Muslim Commercial Bank, F11 Markaz, Islamabad.

APPLICATIONS MUST REACH OTS OFFICE LATES T BY LAST DATE OF SUBMISSION OF REGISTRA TI ON FORM. OTS WILL NOT BE RESPONSIBLE FOR L ATE RECEIVING OF APPLICATION THROUGH COURIER / PAKISTAN POST E TC. ATTACH YOUR RECENT PHOTOGRAPH, CNIC COPY AND ORIGINAL BANK DEPOSIT SLIP/BANK DRAFT BANK DRAFT WITH THE TITLE Of OPEN TESTING SERVICE FROM ANY OTHER BANK OF PAKISTAN IS ACCEPTABLE BY HA ND SUB MIS SIO N OF AP PLICA TIO N FOR M IS N O T ALL OW ED. MOB ILE PHO NES ARE N O T ALL OW E D IN TEST CEN TER PR E MI SES. PLEASE VISIT OTS W EBSITE A CC OR DIN G TO THE TEST SCH ED ULE TO C HECK YOU R S TA TUS.

Send Registration Form to:

Manager Operations, Open Testing Service (OTS), Office # 03, 1st Floor, Plot # 14, MPCHS, E11/3, Islamabad. Help Line: 051-2375081 Email: info@ots.org.pk, Website: www.ots.org.pk