Form No: 1040384

Campus: SAHIWAL
Session: SP-22

Name: MUHAMMAD SHAN KHAN

Father's Name: RIAZ AHMAD
Date of Birth: 15 NOV 2002
CNIC: 32302-7058767-5 Undergraduate
Gender: MALE Admission Form
Mobile: 0301-9222332
Domicile PUNJAB
Nationality: PAKISTANI

Program Choices:
1st 2nd 3rd 4th 5th
BS(CS) BS (A&F) None None None
Arch Program Choices:
1st 2nd
None None

Education Details:
Certificate / Degree Major Subjects Year Board / University Marks Obtained Maximum Marks
Matric Science 2018 BISE, DG Khan 944 1100
FSC Pre Medical 2021 BISE, DG Khan 1014 1100

Address Details:
Address City Phone

Mailing Address basti daod shah wala po shaher sultan shaher sultan 1 tehsil jatoi district Muzafargarh 03019222332
muzaffagarh

Permanent Address basti daod shah wala po shaher sultan shaher sultan 1 tehsil jatoi district Muzafargarh 03019222332
muzaffagarh
Father / Guardian basti daod shah wala po shaher sultan shaher sultan khas tehsil jatoi Muzafargarh 03019339299
Address district muzaffagarh 03019339299

NTS Details:
Test Center Roll No
comsats university Islamabad lahore campus 1015291

Other Details
Hostel Required (limited seats available) Transport Required
Yes No
How You Know About Us Referred by a Person
Undertaking

I, Mr. / Ms. MUHAMMAD SHAN KHAN Son / Daughter of RIAZ AHMAD hereby solemnly declare that the information
provided on this form is true and correct to the best of my knowledge. I have read and understood all the instructions provided
in the current prospectus and agree to abide by them. I further undertake that I have sufficient financial resources required for
the program of study at COMSATS University Islamabad.

I also solemnly affirm, declare and undertake that:

a. I shall abide by the rules and regulations enforced at CUI at present and those which may be enforced at any time in the
future.
b. I shall conform strictly to the code of conduct for the students of CUI.
c. I shall at all times should respectful behavior towards management, faculty and my fellow students.
d. I shall not, through my act, speech or gesture, incite any feelings, which are derogatory to any sect, ethnic group, caste,
religion, creed, sex, or place of origin.
e. I shall not indulge in any political activity, including unionism or political groupings.
f. I shall protect and preserve the property of CUI at all times and shall make all out efforts to prevent others from causing
any damage or destruction to the Institute’s property.
g. I shall fully abide by the decisions of teachers, various discipline committees constituted for the purpose of ensuring and
enforcing discipline and good order in the institute and of other authorities.
h. I undertake to pay fees and other charges regularly by the due date, failing which I would be liable to pay late fees.
i. If I am found involved in any unlawful activity in contravention of the above terms and conditions at any stage during my
stay at CUI, the institute shall have the right to cancel my admission without notice.

Signature of Applicant --------------------------------------------

Signature of parent/Guardian------------------------------------------
Date ----------------------

Check List

Submit the documents by Hand OR Courier:

(Photocopies to be made on A-4 size paper) ** Please staple documents in order.

1. Demand Draft (of Rs. 1000/- in name of CUI Sahiwal) OR Original Paid Challan -- Processing Fee [Please keep Student Copy for
future reference].
2. Hardcopy of printed form.
3. Paste 2 Passport size photographs.
4. Copy of NIC / B - Form.
5. Copy of HSSC mark sheet, result awaiting students will produce HSSC part-I mark sheets (A-Level students will furnish
equivalence certificate issued by the IBCC, Statement of Entry) - (back to back print))
6. Copy of SSC mark sheet / certificate (O level students will furnish equivalence certificate issued by the IBCC, Statement
of Entry) - (back to back print)
7. Surety / Hope Certificate [issued from College] OR Affidavit [speciman available in downloads] for result awaiting students to
be notarized on stamp paper of Rs. 20/-
8. Result Awaiting (HSSC Part II Only) candidates MUST submit their concerned Board Roll No. Slip.
9. NTS General Test Result [Result card issued by NTS with one year validity]. OR Original Paid NTS Challan [for
candidats who have not given NTS test - Please consult your respective campus.]
Photocopy of B-Com Part 1 & 2 DMC (If applying for MBA) (Both from front and back sides)
Candidates applying for MBA Executive MUST submit [Four years verifiable Experience letter / certificate along with the Admission
form.]

** INTERNET PRINT-OUT of SSC / HSSC mark sheet is not acceptable.

** Documents received after the closing date of submission will not be entertained.
Please submit required documents by hand BEFORE THE LAST DATE