National Institute Of Traumatology and Orthopaedic Rehabilitation

www.nitorbd.com

B.Sc in Physiotherapy Admission Test 2024-25

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
4. Please read "Circular" carefully before submitting application.
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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