University of Science & Technology Bannu,: Khyber Pakhtunkhwa

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UNIVERSITY OF SCIENCE & TECHNOLOGY Four Attested

Recent
BANNU, KHYBER PAKHTUNKHWA Passport Size
Photographs
ADMISSION FORM
Serial No._______________ FORM
Note: attached Bank
Draft of Rs.1000/- in
Session ____________ the Name of Treasurer
UST Bannu
NOTE: PLEASE TICK THE DESIRED PROGRAMME (TICK ONLY ONE)
▪ Ph.D Computer Science ▪ Associate Degree in ▪ Ph.D Chemistry ▪ MBA 3.5 Years
▪ MS Computer Science Education (2 Years) ▪ M.Phil Chemistry ▪ MBA 1.5 Years
▪ MCS ▪ MA English ▪ MSc. Chemistry ▪ M.Com
▪ BS Computer Science ▪ BS English ▪ BS Chemistry ▪ BBA (Hons)
▪ BSc Software Engineering ▪ Ph.D Physics ▪ Ph.D Botany ▪ BBA IT
▪ BSc Electrical Engineering ▪ M.Phil Physics ▪ M.Phil Botany ▪ BS Accounting & Finance
(Telecom) ▪ MSc Physics ▪ MSc Botany ▪ M.Phil Economics
▪ Ph.D Education ▪ BS Physics ▪ BS Botany ▪ MSc Economics
▪ M.Phil Education ▪ Ph.D Biotechnology ▪ M.Phil Mathematics ▪ BS Economics
▪ M.Ed ▪ M. Phil Biotechnology ▪ MSc Mathematics ▪ B.Tech (Electrical)
▪ B.Ed (Hons) (4years) ▪ BS Biotechnology ▪ BS Mathematics
▪ B.Ed (2.5 years) ▪ Ph.D Islamic Studies ▪ MS Management ▪ Other____________________
▪ B.Ed (1.5 years) ▪ M.Phil Islamic Studies Sciences
▪ MA Islamic Studies

1. Name (in Block Letters) _______________________________________________________________


2. Father’s Name ________________________________________________________________________
3. Father’s occupation _________________________ 4. Domicile _________________________________
5. Place of Birth ________________________________________________________________________
6. Date of Birth ________________________________________________________________________
7. National I.D. Card No _________________________________________________________________
8. Religion ________________________________ 9. Nationality ________________________________
10. Permanent Home Address ______________________________________________________________
______________________________________________________________________________________
11. Father’s/Guardian Postal Address _______________________________________________________
______________________________________________________________________________________
12. Phone (Res.) _________________________ 13. Phone (Office) _____________________________
14. Number of Brothers & Sisters in UST Bannu______________________________________________
15. Father’s monthly income _________________16. Boarder/Day Scholar ________________________
17. Name of Institution last attended ________________________________________________________
18. University/Board Registration No. of last enrolment __________________________________________
19. ACADEMIC QUALIFICATIONS (Start from SSC):
Year of Marks obtained %
S.No Cer/Dip/Degree Board / University Roll No. Div:
Passing Total Marks Marks

20. NTS/ETC ETEA SCORE (NTS/ETC for BS Program and ETEA Score for Engineering Program If
available):
Roll No. Obtained Score Total Score Year

21. Name, address and Phone No. of the person to be called in case of emergency:
_____________________________________________________________________________________

___________________
Signature of the applicant
(Note: The undertaking enclosed with the prospectus must be transcribed on a stamp paper of Rs.20/- or above
attested by the Oath Commission)
22. DECLARATION BY THE APPLICANT:

I hereby certify that the entries made in the application are correct to the best of my knowledge and belief, and
that I have read and understood the prospectus thoroughly and declare to abide by the rules and regulations of
the University framed at present and/or to be framed thereafter.
I also declare that:
a. I have not joined any other College/ Department for any similar academic programme at the present.
b. I shall be responsible for the consequences if any information given by me in this application form is proved
false at any stage and that in addition to any other action my admission shall be liable to cancellation.
c. I will not indulge in any political or any other unwanted activities which are against the discipline and Rules
& Regulations of the University.
d. In case of breach of rules and regulations, the university reserves right to cancel my admission or take any
action accordingly.

_____________________
Dated_______________ Signature of the Applicant

23. DECLARATION BY PARENT/GUARDIAN


a) I _________________________________ Father/Guardian of _______________________________

Resident of ____________________________________________________________________ hereby


endorse the undertaking given by my son/daughter/ward and promise that he/she shall abide by this
undertaking and obey all the rules and regulations, framed at present and to be framed thereafter, by the
University. In case of contravening any of the rules and regulations as mentioned in the prospectus or issued
from time to time by the University Administration, he/she shall be liable to disciplinary action.
I hereby also agree that in the event of any injury, damage or loss resulting from any cause whatsoever,
directly or indirectly to my son/daughter/ward in the course of studies at the University of Science &
Technology, Bannu or at any other place in Pakistan, I/my/he/his/she/her heirs shall have no claim whether
for compensation or otherwise against the Institution/University/Government.

______________________ ___________________
Signature of Parent/Guardian Signature of the Applicant
Dated: _________________

For Office Use Only


Date of Receipt of Application _____________________________________________________________

Total Test Score ______________________________________________________________________

Position in Order of Merit: ________________________________________________________________

The candidate is selected for Admission to __________________________________________________

Check List: Please tick the pre-requisites, submitted:

1). Matric Certificate 2). Matric DMC 3). F.A./ F.Sc Certificate 4). F.A./F.Sc. DMC
5). BA/BSc degree 6). BA/BSc DMC 7). Domicile Copy 8). NIC Copy
9) MA/ MSc Degree 10) MA/MSc DMC 11) Other
12). 4 No Passport size recent photographs 13). Character Certificate of last attended institute
14). Undertaking on stamp paper (after admission) 15). Migration Certificate (after admission)

1). Member __________________ 2). Member __________________

3). Member __________________ 4). Member __________________

Convener Admission Committee _______________________

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Path: E:\Rahmat P&D\Admission-2017\ Admission Forms of UST Bannu

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