PIA Admission Form

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*Your Full Name*

*Your Mobile No*

Email Address*

Date of Birth

Emergency Contact Name*

Relation With Emergency Contact*

Emergency Contact Mobile No.*

Contact Address/Current Address*

Permanente Address*

*Upload Your Formal Photo*JPEG, JPG, PNG (Maximum 2MB)

*Your Last Study Level*

SSC O Level HSC A Level Bachelor Bachelor (On Going) Masters Masters (Ongoing) GED MBBS Diploma Others SSC, HSC, Bachelor, Masters Etc.

Board/Institute*

*CGPA/GPA (Current)*

Passing Year*

Fields with (*) are compulsory.