itsupport.isra.net.pk
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103.12.58.206
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URL:
https://itsupport.isra.net.pk/
Submission: On November 13 via automatic, source certstream-suspicious — Scanned from DE
Submission: On November 13 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 1 forms found in the DOM
POST registeration
<form class="needs-validation" action="registeration" method="POST" enctype="multipart/form-data" novalidate="" id="sectionForm" onsubmit="return checkForm(this);" autocomplete="off">
<input type="hidden" name="_token" value="MXukByobnPtquVRBN6L20XBhG2c3Nov5eRYiC5d2">
<div class="row">
<div class="col-md-4 order-md-2 mb-4" style="displaye:none">
<h4 class="d-flex justify-content-between align-items-center mb-3">
<span> Campus </span>
</h4>
<ul class="list-group mb-6">
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<select class="custom-select d-block w-100" id="campus" name="campus" required="">
<option value="">Choose...</option>
<option value="hyd"> Hyderabad </option>
<option value="khi"> Karachi </option>
<option value="isb"> Islamabad </option>
</select>
<div class="invalid-feedback"> Valid Campus is required. </div>
</div>
</li>
</ul>
<h4 class="d-flex justify-content-between align-items-center mb-3" style="margin-top:10px">
<span>Contact Information</span>
</h4>
<ul class="list-group mb-3">
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<label for="emailAddress">Email Address</label>
<input type="email" class="form-control" id="emailAddress" placeholder="" value="" name="emailaddress" required="" autocomplete="email">
<div class="invalid-feedback"> Valid e-mail address is required. </div>
<label for="retypeemail" style="margin-top: 20px">Confirmation Email Address</label>
<input type="email" class="form-control" id="retypeemail" placeholder="" value="" name="retypeemail" required="" onpaste="return false;">
<div class="invalid-feedback"> Valid e-mail address is required. </div>
</div>
</li>
<li class="list-group-item d-flex justify-content-between bg-light">
<div>
<label for="cell">Mobile Number</label>
<input type="text" class="form-control" id="cell" placeholder="" pattern="^(?:(([+]|00)92)|0)((3[0-9][0-9]))(\d{7})$" name="cell" required="">
<div class="invalid-feedback"> Valid mobile number is required. </div>
</div>
</li>
</ul>
<h4 class="d-flex justify-content-between align-items-center mb-3">
<span>File Upload </span>
</h4>
<ul class="list-group mb-3">
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<label for="photo">Photo</label>
<input type="file" class="form-control-file" id="photo" name="photo" accept="image/*" required="">
<div class="invalid-feedback"> Photo is required. </div>
</div>
</li>
</ul>
</div>
<div class="col-md-8 order-md-1">
<h4 class="mb-3">Personal Information</h4>
<div class="row">
<div class="col-md-6 mb-3">
<label for="fullName">Applicant Name</label>
<input type="text" class="form-control" id="fullName" name="fullname" pattern="[a-zA-Z]*( [a-zA-Z]*)*" placeholder="" value="" required="">
<div class="invalid-feedback"> Valid full name is required. </div>
</div>
<div class="col-md-6 mb-3">
<label for="gender">Gender</label>
<select class="custom-select d-block w-100" id="gender" name="gender" required="">
<option value="">Choose...</option>
<option value="Male"> Male </option>
<option value="Female"> Female </option>
</select>
<div class="invalid-feedback"> Valid gender is required. </div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label for="fathername">Father's Name</label>
<input type="text" class="form-control" id="fathername" name="fathername" required="">
<div class="invalid-feedback"> Father Name is required. </div>
</div>
<div class="col-md-6 mb-3">
<label for="pphone">Parent Contact Number </label>
<input type="text" class="form-control" id="pphone" placeholder="" pattern="^(?:(([+]|00)92)|0)((3[0-9][0-9]))(\d{7})$" name="pphone" required="">
<div class="invalid-feedback"> Valid mobile number is required. </div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label for="cnic">CNIC/Passport No.</label>
<input type="text" class="form-control" id="cnic" pattern="^[0-9+]{5}-[0-9+]{7}-[0-9]{1}$" name="cnic" placeholder="12345-1234567-1" value="" required="">
<div class="invalid-feedback"> Valid CNIC is required. </div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3" style="">
<label for="mdcatroll">MDCAT Roll No # (For MBBS/BDS)</label>
<input type="text" class="form-control" name="mdcatroll" id="mdcatroll" value="">
<div class="invalid-feedback"> Valid MDCAT Roll No # is required. </div>
</div>
<div class="col-md-6 mb-3" style="">
<label for="mdcatpyear">MDCAT Passing Year (For MBBS/BDS)</label>
<input type="text" class="form-control" name="mdcatpyear" id="mdcatpyear" value="">
<div class="invalid-feedback"> Valid MDCAT Passing Year is required. </div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3" style="">
<label for="mdcat">MDCAT Marks (For MBBS/BDS)</label>
<input type="text" class="form-control" name="mdcat" id="mdcat" value="">
<div class="invalid-feedback"> Valid MDCAT Score is required. </div>
</div>
<div class="col-md-6 mb-3" style="">
<label for="mdcattotalmarks">MDCAT Total Marks (For MBBS/BDS)</label>
<input type="text" class="form-control" name="mdcattotalmarks" id="mdcattotalmarks" value="">
<div class="invalid-feedback"> Valid MDCAT Total Marks are required. </div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label for="mobtained">Matric Obtained Marks</label>
<input type="text" class="form-control" id="mobtained" name="mobtained" value="">
<div class="invalid-feedback"> Valid Matric Obtained marks are required. </div>
</div>
<div class="col-md-6 mb-3">
<label for="mtotal">Matric Total Marks</label>
<input type="text" class="form-control" id="mtotal" name="mtotal" value="">
<div class="invalid-feedback"> Valid Matric Total marks are required. </div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label for="iobtained">Inter Obtained Marks</label>
<input type="text" class="form-control" id="iobtained" name="iobtained" value="">
<div class="invalid-feedback"> Valid Inter Obtained marks are required. </div>
</div>
<div class="col-md-6 mb-3">
<label for="itotal">Inter Total Marks</label>
<input type="text" class="form-control" id="itotal" name="itotal" value="">
<div class="invalid-feedback"> Valid Inter Total marks are required. </div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label for="city">City</label>
<select id="city" name="city" class="custom-select d-block w-100" required="">
<option value="" disabled="" selected="">--Select--</option>
<option value="Islamabad">Islamabad</option>
<option value="" disabled="">Punjab Cities</option>
<option value="Ahmed Nager Chatha">Ahmed Nager Chatha</option>
<option value="Ahmadpur East">Ahmadpur East</option>
<option value="Ali Khan Abad">Ali Khan Abad</option>
<option value="Alipur">Alipur</option>
<option value="Arifwala">Arifwala</option>
<option value="Attock">Attock</option>
<option value="Bhera">Bhera</option>
<option value="Bhalwal">Bhalwal</option>
<option value="Bahawalnagar">Bahawalnagar</option>
<option value="Bahawalpur">Bahawalpur</option>
<option value="Bhakkar">Bhakkar</option>
<option value="Burewala">Burewala</option>
<option value="Chillianwala">Chillianwala</option>
<option value="Chakwal">Chakwal</option>
<option value="Chichawatni">Chichawatni</option>
<option value="Chiniot">Chiniot</option>
<option value="Chishtian">Chishtian</option>
<option value="Daska">Daska</option>
<option value="Darya Khan">Darya Khan</option>
<option value="Dera Ghazi Khan">Dera Ghazi Khan</option>
<option value="Dhaular">Dhaular</option>
<option value="Dina">Dina</option>
<option value="Dinga">Dinga</option>
<option value="Dipalpur">Dipalpur</option>
<option value="Faisalabad">Faisalabad</option>
<option value="Fateh Jhang">Fateh Jang</option>
<option value="Ghakhar Mandi">Ghakhar Mandi</option>
<option value="Gojra">Gojra</option>
<option value="Gujranwala">Gujranwala</option>
<option value="Gujrat">Gujrat</option>
<option value="Gujar Khan">Gujar Khan</option>
<option value="Hafizabad">Hafizabad</option>
<option value="Haroonabad">Haroonabad</option>
<option value="Hasilpur">Hasilpur</option>
<option value="Haveli">Haveli</option>
<option value="Lakha">Lakha</option>
<option value="Jalalpur">Jalalpur</option>
<option value="Jattan">Jattan</option>
<option value="Jampur">Jampur</option>
<option value="Jaranwala">Jaranwala</option>
<option value="Jhang">Jhang</option>
<option value="Jhelum">Jhelum</option>
<option value="Kalabagh">Kalabagh</option>
<option value="Karor Lal Esan">Karor Lal Esan</option>
<option value="Kasur">Kasur</option>
<option value="Kamalia">Kamalia</option>
<option value="Kamoke">Kamoke</option>
<option value="Khanewal">Khanewal</option>
<option value="Khanpur">Khanpur</option>
<option value="Kharian">Kharian</option>
<option value="Khushab">Khushab</option>
<option value="Kot Adu">Kot Adu</option>
<option value="Jauharabad">Jauharabad</option>
<option value="Lahore">Lahore</option>
<option value="Lalamusa">Lalamusa</option>
<option value="Layyah">Layyah</option>
<option value="Liaquat Pur">Liaquat Pur</option>
<option value="Lodhran">Lodhran</option>
<option value="Malakwal">Malakwal</option>
<option value="Mamoori">Mamoori</option>
<option value="Mailsi">Mailsi</option>
<option value="Mandi Bahauddin">Mandi Bahauddin</option>
<option value="mian Channu">Mian Channu</option>
<option value="Mianwali">Mianwali</option>
<option value="Multan">Multan</option>
<option value="Murree">Murree</option>
<option value="Muridke">Muridke</option>
<option value="Mianwali Bangla">Mianwali Bangla</option>
<option value="Muzaffargarh">Muzaffargarh</option>
<option value="Narowal">Narowal</option>
<option value="Okara">Okara</option>
<option value="Renala Khurd">Renala Khurd</option>
<option value="Pakpattan">Pakpattan</option>
<option value="Pattoki">Pattoki</option>
<option value="Pir Mahal">Pir Mahal</option>
<option value="Qaimpur">Qaimpur</option>
<option value="Qila Didar Singh">Qila Didar Singh</option>
<option value="Rabwah">Rabwah</option>
<option value="Raiwind">Raiwind</option>
<option value="Rajanpur">Rajanpur</option>
<option value="Rahim Yar Khan">Rahim Yar Khan</option>
<option value="Rawalpindi">Rawalpindi</option>
<option value="Sadiqabad">Sadiqabad</option>
<option value="Safdarabad">Safdarabad</option>
<option value="Sahiwal">Sahiwal</option>
<option value="Sangla Hill">Sangla Hill</option>
<option value="Sarai Alamgir">Sarai Alamgir</option>
<option value="Sargodha">Sargodha</option>
<option value="Shakargarh">Shakargarh</option>
<option value="Sheikhupura">Sheikhupura</option>
<option value="Sialkot">Sialkot</option>
<option value="Sohawa">Sohawa</option>
<option value="Soianwala">Soianwala</option>
<option value="Siranwali">Siranwali</option>
<option value="Talagang">Talagang</option>
<option value="Taxila">Taxila</option>
<option value="Toba Tek Singh">Toba Tek Singh</option>
<option value="Vehari">Vehari</option>
<option value="Wah Cantonment">Wah Cantonment</option>
<option value="Wazirabad">Wazirabad</option>
<option value="" disabled="">Sindh Cities</option>
<option value="Badin">Badin</option>
<option value="Bhirkan">Bhirkan</option>
<option value="Rajo Khanani">Rajo Khanani</option>
<option value="Chak">Chak</option>
<option value="Dadu">Dadu</option>
<option value="Digri">Digri</option>
<option value="Diplo">Diplo</option>
<option value="Dokri">Dokri</option>
<option value="Ghotki">Ghotki</option>
<option value="Haala">Haala</option>
<option value="Hyderabad">Hyderabad</option>
<option value="Islamkot">Islamkot</option>
<option value="Jacobabad">Jacobabad</option>
<option value="Jamshoro">Jamshoro</option>
<option value="Jungshahi">Jungshahi</option>
<option value="Kandhkot">Kandhkot</option>
<option value="Kandiaro">Kandiaro</option>
<option value="Karachi">Karachi</option>
<option value="Kashmore">Kashmore</option>
<option value="Keti Bandar">Keti Bandar</option>
<option value="Khairpur">Khairpur</option>
<option value="Kotri">Kotri</option>
<option value="Larkana">Larkana</option>
<option value="Matiari">Matiari</option>
<option value="Mehar">Mehar</option>
<option value="Mirpur Khas">Mirpur Khas</option>
<option value="Mithani">Mithani</option>
<option value="Mithi">Mithi</option>
<option value="Mehrabpur">Mehrabpur</option>
<option value="Moro">Moro</option>
<option value="Nagarparkar">Nagarparkar</option>
<option value="Naudero">Naudero</option>
<option value="Naushahro Feroze">Naushahro Feroze</option>
<option value="Naushara">Naushara</option>
<option value="Nawabshah">Nawabshah</option>
<option value="Nazimabad">Nazimabad</option>
<option value="Qambar">Qambar</option>
<option value="Qasimabad">Qasimabad</option>
<option value="Ranipur">Ranipur</option>
<option value="Ratodero">Ratodero</option>
<option value="Rohri">Rohri</option>
<option value="Sakrand">Sakrand</option>
<option value="Sanghar">Sanghar</option>
<option value="Shahbandar">Shahbandar</option>
<option value="Shahdadkot">Shahdadkot</option>
<option value="Shahdadpur">Shahdadpur</option>
<option value="Shahpur Chakar">Shahpur Chakar</option>
<option value="Shikarpaur">Shikarpaur</option>
<option value="Sukkur">Sukkur</option>
<option value="Tangwani">Tangwani</option>
<option value="Tando Adam Khan">Tando Adam Khan</option>
<option value="Tando Allahyar">Tando Allahyar</option>
<option value="Tando Muhammad Khan">Tando Muhammad Khan</option>
<option value="Thatta">Thatta</option>
<option value="Umerkot">Umerkot</option>
<option value="Warah">Warah</option>
<option value="" disabled="">Khyber Cities</option>
<option value="Abbottabad">Abbottabad</option>
<option value="Adezai">Adezai</option>
<option value="Alpuri">Alpuri</option>
<option value="Akora Khattak">Akora Khattak</option>
<option value="Ayubia">Ayubia</option>
<option value="Banda Daud Shah">Banda Daud Shah</option>
<option value="Bannu">Bannu</option>
<option value="Batkhela">Batkhela</option>
<option value="Battagram">Battagram</option>
<option value="Birote">Birote</option>
<option value="Chakdara">Chakdara</option>
<option value="Charsadda">Charsadda</option>
<option value="Chitral">Chitral</option>
<option value="Daggar">Daggar</option>
<option value="Dargai">Dargai</option>
<option value="Darya Khan">Darya Khan</option>
<option value="dera Ismail Khan">Dera Ismail Khan</option>
<option value="Doaba">Doaba</option>
<option value="Dir">Dir</option>
<option value="Drosh">Drosh</option>
<option value="Hangu">Hangu</option>
<option value="Haripur">Haripur</option>
<option value="Karak">Karak</option>
<option value="Kohat">Kohat</option>
<option value="Kulachi">Kulachi</option>
<option value="Lakki Marwat">Lakki Marwat</option>
<option value="Latamber">Latamber</option>
<option value="Madyan">Madyan</option>
<option value="Mansehra">Mansehra</option>
<option value="Mardan">Mardan</option>
<option value="Mastuj">Mastuj</option>
<option value="Mingora">Mingora</option>
<option value="Nowshera">Nowshera</option>
<option value="Paharpur">Paharpur</option>
<option value="Pabbi">Pabbi</option>
<option value="Peshawar">Peshawar</option>
<option value="Saidu Sharif">Saidu Sharif</option>
<option value="Shorkot">Shorkot</option>
<option value="Shewa Adda">Shewa Adda</option>
<option value="Swabi">Swabi</option>
<option value="Swat">Swat</option>
<option value="Tangi">Tangi</option>
<option value="Tank">Tank</option>
<option value="Thall">Thall</option>
<option value="Timergara">Timergara</option>
<option value="Tordher">Tordher</option>
<option value="" disabled="">Balochistan Cities</option>
<option value="Awaran">Awaran</option>
<option value="Barkhan">Barkhan</option>
<option value="Chagai">Chagai</option>
<option value="Dera Bugti">Dera Bugti</option>
<option value="Gwadar">Gwadar</option>
<option value="Harnai">Harnai</option>
<option value="Jafarabad">Jafarabad</option>
<option value="Jhal Magsi">Jhal Magsi</option>
<option value="Kacchi">Kacchi</option>
<option value="Kalat">Kalat</option>
<option value="Kech">Kech</option>
<option value="Kharan">Kharan</option>
<option value="Khuzdar">Khuzdar</option>
<option value="Killa Abdullah">Killa Abdullah</option>
<option value="Killa Saifullah">Killa Saifullah</option>
<option value="Kohlu">Kohlu</option>
<option value="Lasbela">Lasbela</option>
<option value="Lehri">Lehri</option>
<option value="Loralai">Loralai</option>
<option value="Mastung">Mastung</option>
<option value="Musakhel">Musakhel</option>
<option value="Nasirabad">Nasirabad</option>
<option value="Nushki">Nushki</option>
<option value="Panjgur">Panjgur</option>
<option value="Pishin valley">Pishin Valley</option>
<option value="Quetta">Quetta</option>
<option value="Sherani">Sherani</option>
<option value="Sibi">Sibi</option>
<option value="Sohbatpur">Sohbatpur</option>
<option value="Washuk">Washuk</option>
<option value="Zhob">Zhob</option>
<option value="Ziarat">Ziarat</option>
<option value="other">other</option>
</select>
<div class="invalid-feedback"> Please provide a valid City. </div>
</div>
<div class="col-md-6 mb-3">
<label for="country">Country</label>
<select id="country" name="country" class="custom-select d-block w-100" required="" autocomplete="country">
<option value="" selected="">Choose...</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Åland Islands">Åland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Democratic Republic of The">Congo, The Democratic Republic of The</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'ivoire">Cote D'ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-bissau">Guinea-bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option selected="selected" value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and The South Sandwich Islands">South Georgia and The South Sandwich Islands</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan, Province of China">Taiwan, Province of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-leste">Timor-leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<div class="invalid-feedback"> Country Name is required. </div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label for="domicile">Domicile</label>
<input type="text" class="form-control" id="domicile" name="domicile" value="">
<div class="invalid-feedback"> Valid Domicile are required. </div>
</div>
<div class="col-md-6 mb-3">
</div>
</div>
<div class="mb-3">
<label for="address">Residential Address</label>
<textarea class="form-control" rows="5" id="address" name="address" required="" autocomplete="address-level1"></textarea>
<div class="invalid-feedback"> Please enter your address. </div>
</div>
<hr class="mb-4">
<h4 class=" mb-3">Choice</h4>
<div class="edu-add-more">
<div class="row">
<div class="col-md-4 mb-3">
<label for="choice">Choose Degree Programs</label>
<select class="custom-select d-block w-100" id="choice" name="choice[]" required="">
<option value="">Choose...</option>
<option value="DPT (Karachi Malir Campus)"> DPT (Karachi Malir Campus) </option>
<option value="DPT (Karachi Johar Campus)"> DPT (Karachi Johar Campus) </option>
<option value="BS Vision Sciences (Karachi Campus)"> BS Vision Sciences (Karachi Campus) </option>
<option value="POST-RN BS Nursing (Karachi Campus)"> POST-RN BS Nursing (Karachi Campus) </option>
<option value="BS Nursing (Karachi Campus)"> BS Nursing (Karachi Campus) </option>
</select>
<!--
<option value="MBBS (Al-Tibri Medical College)"> MBBS (Al-Tibri Medical College) </option>
<option value="MBBS (Al-Nafees Medical College)"> MBBS (Al-Nafees Medical College) </option>
<option value="DPT (Islamabad Campus)"> DPT (Islamabad Campus) </option>
<option value="BS-SLT&P (Islamabad Campus)"> BS-SLT&P (Islamabad Campus) </option>
<option value="BS Nursing (Karachi Campus)"> BS Nursing (Karachi Campus) </option>
<option value="BS Clinical Pathology (Islamabad Campus)"> BS Clinical Pathology (Islamabad Campus) </option>
<option value="Post-RN BS Nursing (Karachi Campus)"> Post-RN BS Nursing (Karachi Campus) </option>
<option value="BS-MLT (Islamabad Campus)"> BS-MLT (Islamabad Campus) </option>
<option value="Post-RN BS Nursing (Islamabad Campus)"> Post-RN BS Nursing (Islamabad Campus) </option>
<option value="BSc EE (Islamabad Campus)"> BSc EE (Islamabad Campus) </option>
<option value="BSc CE (Islamabad Campus)"> BSc CE (Islamabad Campus) </option>
<option value="BS EE (Islamabad Campus)"> BS EE (Islamabad Campus) </option>
<option value="MS EE (Islamabad Campus)"> MS EE (Islamabad Campus) </option>
<option value="PhD EE (Islamabad Campus)"> PhD EE (Islamabad Campus) </option>
-->
<div class="invalid-feedback"> Valid Degree program is required. </div>
</div>
<div class="col-md-4 mb-3">
<label for="edu-add">Add another choice</label>
<div class="form-group change ml-4" id="edu-add">
<button type="button" class="btn btn-primary edu-add"> + </button>
</div>
</div>
</div>
</div>
<hr class="mb-4">
<button class="btn btn-primary btn-lg btn-block" type="submit">Submit</button>
</div>
</div>
</form>Text Content
ISRA UNIVERSITY HYDERABAD | KARACHI | ISLAMABAD Registration Form Fee Structure INSTRUCTIONS -------------------------------------------------------------------------------- 1. Please complete all fields. CAMPUS * Choose... Hyderabad Karachi Islamabad Valid Campus is required. CONTACT INFORMATION * Email Address Valid e-mail address is required. Confirmation Email Address Valid e-mail address is required. * Mobile Number Valid mobile number is required. FILE UPLOAD * Photo Photo is required. PERSONAL INFORMATION Applicant Name Valid full name is required. Gender Choose... Male Female Valid gender is required. Father's Name Father Name is required. Parent Contact Number Valid mobile number is required. CNIC/Passport No. Valid CNIC is required. MDCAT Roll No # (For MBBS/BDS) Valid MDCAT Roll No # is required. MDCAT Passing Year (For MBBS/BDS) Valid MDCAT Passing Year is required. MDCAT Marks (For MBBS/BDS) Valid MDCAT Score is required. MDCAT Total Marks (For MBBS/BDS) Valid MDCAT Total Marks are required. Matric Obtained Marks Valid Matric Obtained marks are required. Matric Total Marks Valid Matric Total marks are required. Inter Obtained Marks Valid Inter Obtained marks are required. Inter Total Marks Valid Inter Total marks are required. City --Select-- Islamabad Punjab Cities Ahmed Nager Chatha Ahmadpur East Ali Khan Abad Alipur Arifwala Attock Bhera Bhalwal Bahawalnagar Bahawalpur Bhakkar Burewala Chillianwala Chakwal Chichawatni Chiniot Chishtian Daska Darya Khan Dera Ghazi Khan Dhaular Dina Dinga Dipalpur Faisalabad Fateh Jang Ghakhar Mandi Gojra Gujranwala Gujrat Gujar Khan Hafizabad Haroonabad Hasilpur Haveli Lakha Jalalpur Jattan Jampur Jaranwala Jhang Jhelum Kalabagh Karor Lal Esan Kasur Kamalia Kamoke Khanewal Khanpur Kharian Khushab Kot Adu Jauharabad Lahore Lalamusa Layyah Liaquat Pur Lodhran Malakwal Mamoori Mailsi Mandi Bahauddin Mian Channu Mianwali Multan Murree Muridke Mianwali Bangla Muzaffargarh Narowal Okara Renala Khurd Pakpattan Pattoki Pir Mahal Qaimpur Qila Didar Singh Rabwah Raiwind Rajanpur Rahim Yar Khan Rawalpindi Sadiqabad Safdarabad Sahiwal Sangla Hill Sarai Alamgir Sargodha Shakargarh Sheikhupura Sialkot Sohawa Soianwala Siranwali Talagang Taxila Toba Tek Singh Vehari Wah Cantonment Wazirabad Sindh Cities Badin Bhirkan Rajo Khanani Chak Dadu Digri Diplo Dokri Ghotki Haala Hyderabad Islamkot Jacobabad Jamshoro Jungshahi Kandhkot Kandiaro Karachi Kashmore Keti Bandar Khairpur Kotri Larkana Matiari Mehar Mirpur Khas Mithani Mithi Mehrabpur Moro Nagarparkar Naudero Naushahro Feroze Naushara Nawabshah Nazimabad Qambar Qasimabad Ranipur Ratodero Rohri Sakrand Sanghar Shahbandar Shahdadkot Shahdadpur Shahpur Chakar Shikarpaur Sukkur Tangwani Tando Adam Khan Tando Allahyar Tando Muhammad Khan Thatta Umerkot Warah Khyber Cities Abbottabad Adezai Alpuri Akora Khattak Ayubia Banda Daud Shah Bannu Batkhela Battagram Birote Chakdara Charsadda Chitral Daggar Dargai Darya Khan Dera Ismail Khan Doaba Dir Drosh Hangu Haripur Karak Kohat Kulachi Lakki Marwat Latamber Madyan Mansehra Mardan Mastuj Mingora Nowshera Paharpur Pabbi Peshawar Saidu Sharif Shorkot Shewa Adda Swabi Swat Tangi Tank Thall Timergara Tordher Balochistan Cities Awaran Barkhan Chagai Dera Bugti Gwadar Harnai Jafarabad Jhal Magsi Kacchi Kalat Kech Kharan Khuzdar Killa Abdullah Killa Saifullah Kohlu Lasbela Lehri Loralai Mastung Musakhel Nasirabad Nushki Panjgur Pishin Valley Quetta Sherani Sibi Sohbatpur Washuk Zhob Ziarat other Please provide a valid City. Country Choose... Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Name is required. Domicile Valid Domicile are required. Residential Address Please enter your address. -------------------------------------------------------------------------------- CHOICE Choose Degree Programs Choose... DPT (Karachi Malir Campus) DPT (Karachi Johar Campus) BS Vision Sciences (Karachi Campus) POST-RN BS Nursing (Karachi Campus) BS Nursing (Karachi Campus) Valid Degree program is required. Add another choice + -------------------------------------------------------------------------------- Submit