Admission Form — Hira Institute of Medical & Allied Health Sciences

Admissions Form

Complete every section below. Fields marked * are required for your application to be processed.

Personal Information

Enter your details exactly as they appear on your CNIC / B-Form.

Programme *

Full Name *

Surname *

CNIC / B-Form Number *

District of Domicile

Date of Birth *

Gender *

Male Female

Province

WhatsApp Number *

Phone Number

Email Address

Permanent Address *

Present Address (if different)

Upload Passport Size Photograph *

⬆ Click to choose file — JPG or PNG, under 2 MB

Particulars of Father / Guardian

We use these details for correspondence regarding your application.

Father / Guardian Name *

Occupation

Phone Number *

CNIC Number

Academic Qualification

Matriculation and Intermediate results, or their equivalent.

Matriculation / O Level

Group *

Science Arts Engineering B.Com

Passing Year *

Name of Board *

Grade

Total Marks *

Obtained Marks *

Intermediate / A Level

Group *

Passing Year *

Name of Board *

Grade

Total Marks *

Obtained Marks *

Admission Form Fee Details

Submit the admission form fee to the account below, then upload your payment slip or screenshot.

Certificate Programmes Fee (one year): Rs. 1,000/-

Account Title: Hira Institute of Medical & Allied Health Sciences

Bank: Meezan Bank

Account No: 1702-0114549999

Payment Amount (Rs.) *

Date of Payment *

Upload Payment Screenshot / Bank Slip *

⬆ Click to choose file — JPG, PNG or PDF, under 5 MB

I declare that the information provided above is true to the best of my knowledge. I understand that any false statement may lead to cancellation of my admission at any stage.

Step 1 of 4 sections completed as you fill the form

✓

Application Received

Thank you for applying to Hira Institute. Our admissions office will verify your documents and contact you on the WhatsApp number provided.