NA-74 Sialkot-V () is a constituency for the National Assembly of Pakistan. It mainly comprises the Sambrial Tehsil.
General elections were held on 10 October 2002. Umar Ahmad of PML-Q won by 68,468 votes and Salman Saif Cheema of PPP got 31,602 votes.
General elections were held on 18 February 2008. Rana Abdul Sattar son of Rana Shamim Ahmed Khan of PML-N won by 92,182 votes against the president of PMLQ Ch Shujaat Hussain.
General election 2013 were held on May 11, 2013. Rana Shamim Ahmed Khan won by 129,571 votes and became the member of National Assembly. He also serves as Chairman Standing committee on Interior and narcotics control.
General elections were held on 25 July 2018.
General elections were held on 8 February 2024. Muhammad Aslam Ghumman won with 130,606 votes.