National Institute Of Traumatology and Orthopaedic Rehabilitation

www.nitorbd.com

B.Sc in Physiotherapy Admission Test 2021-22

Application Form

NOTE:
1. All * Fields Are Required
2. Please fill all information in English
3. Please do not apply, if You do not have Physics, Chemistry and Biology in SSC and HSC
Applicant's Name *
Father's Name *
Mother's Name *
Date of Birth (yyyy-mm-dd) * Gender *
Email Phone Number(11 digit) *
Contact Address
Photo *
your image

Preferred image size: width:160px, height:200px
Only .jpg image format allow to upload
Max file size 300KB

Signature *
your image

Preferred image size: width:160px, height:50px
Only .jpg image format allow to upload
Max file size 300KB

Bank Deposit Slip Scan Copy * your image


Only .jpg image format allow to upload
Max file size 400KB

Bank Deposit Slip Scroll Number/Slip Number(স্ক্রল নং/ক্রমিক নং ) * Bank Deposit Slip Date*
Quota

Academic Qualification
Exam Level * Board * Passing Year * Roll No. * Reg. No. * Total GPA * Confirm Total GPA *
S.S.C/Equivalent (ex: 4.00) (ex: 4.00)
H.S.C/Equivalent (ex: 4.50) (ex: 4.50)

Are you human(answer this simple math)? *

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