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First Name

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Gender

Father Name

Date Of Birth

Country

Nationality

CNIC

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Mobile Number

Alternate Number

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Current Address

City

Province

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Permanent Address

City

Province

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Matric Institute

Matric Board

Matric - Year Of Admission

Matric - Year Of Completion

Matric - Total Marks

Matric - Marks Obtained

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FSc. Institute

FSc. Board

FSc. Year Of Admission

FSc. Year Of Completion

FSc. Total Marks

FSc. Marks Obtained

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I solemnly affirm that information given above is correct to the best of my knowledge. If it is found that any of the statement was false, the applicant will lose the right of admission and, if admitted, the institute will have the right to expel me. The applicant will also be liable to any further institutional or legal action that the Buner Institute of Health Science (BIHS) may deem necessary to take.