Applicant Enrollment Form

Enrollment Form

Program Applied For*

Course Type*

Instructions: Please Fill this Application Form in CAPITAL LETTERS

First Name*

Second Name*

Gender*

Mobile Number:*

CNIC*

City:*

Country*

Source of Information **

For Bank Transfer:

TITLE OF ACCOUNT: Afro Asian Institute of Medical Sciences

Bank Name: Silk Bank LTD, Wapda Town Branch, Lahore

Branch Code: 0081

IBAN: PK 97 SAUD 0000 8120 0363 5182

Account #: 2003635182

SWIT CODE: SAUDPKKA

EasyPaisa Transfer

Account Title: Akif Sarfaraz
Account Number: +92 342 4707368

* Note: Fee once paid is not refundable.

Payment Receipt Copy*

Picture*

CNIC Scanned Copy*

Highest/Latest Degree Scanned Copy*

User Email*

Password*

Confirm Password*