PIET Online Application

Name : *

Candidate CNIC : *

Father's Name : *

Father CNIC : *

Mother's Name : *

Date of Birth : *

Upload Photo : *

JPEG and PNG Image only

Gender : *

Nationality : *

Domicile : *

Address : *

Copy Address :

Same as permanent home address

Address :

Mobile Number : *

Emergency Contact Number : *

Email Address : *

Alternative Email Address :

Password : *

Confirm Password : *