Digital Receipt No ____________ Form S.

No_________

University of Lakki Marwat

District: Lakki Marwat (28420) Khyber Pakhtunkhwa (Pakistan)
Web site: www.ulm.edu.pk Picture

Application Form for Issuance of Original Degree in Absentia

Please Tick (,/) the relevant Boxes
Dy. No
Nature & Stage of Degree: Original Duplicate Improvements of Revised Form received on
Marks

Normal Urgent Most Urgent Immediate

CNIC NO.

ULM Lakki Registration No:

Title/ Discipli ne of required Degree Field of Specialization (if any):

I . Name in Block Letters as per SSC_______________________________________________________________

2. Father's Name (in Block Letters)_______________________________________________________________

3. Roll No: year/ Session: Semester/Annual/Supply/Term:
4. Marks Obtained: Division/CGPA:___________________________________________
5. Result Declared on (Date): ________________________________ Exam Passed As a Whole in parts

6. Passed as a Regular Student _________________________________ Private Candidate ___________________

7. College/ Institute last attended _______________________________________________________________________________

8. District/ Agency of Domicile: _____________________________________________________________________________________

9. Permanent Home Address_________________________________________________________________________________________

10. Present Postal Address (for Dispatch of Degree :) _________________________________________

11. Contact No s:(i). ______________________________________________________________________________________

I have completed all the requirements for award of Degree and have deposited Fee Rs. Vide Banks Receipt/ Draft No: Bank
Name: Dated: _(attached), I want/ do not want the degree to be dispatched on present address.
Therefore, it is requested to kindly issue my original Degree, as per Rules/ Regulations and policy of this University , as desired please
More over I hereby undertake 10 atiide by 1he Rules/ Regulations & Policy of the ULM Lakki.
Attesting Aut11ority. Signature:
Name :...........................................
Designation: ....................................
(Signature of the Candidate)
Office Seal :....................................
Contact No................................... Date:
Date:......................................
Note: Regular Students are required to attest the form by Head of the Institution/ Principal/Chairman I Director While the private
Candidate by any Gazetted Officer.
For Office use only:

Entries Checked Prepared by Verified by Dy Controller of Controller of Allowed by

By dealing Assistant Computer Programmer Examinations Examinations Vice Chancellor
ACKNOWLEDGMENT RECEIPT (To be filled in by Candidate)
Received the Degree Application FORM of Mr .______________________________/Miss S-D-O_________________________.
Discipline:_________________________Roll No. _________ Semester/Annual/Supply/terminal. Session _____________Dated _______
Fee Deposited Rs.___________in Bank (Name)__________________ Dated ____________________vide Receipt No_________________
Important Note: - Original CNIC of the candidate & receipt alongwith this slip must be printed at the time of receiving Degree.
Dealing Assistant
 INSTRUCTIONS FOR THE CANDIDATES
Please Read carefully before filling in the Form & put Signature at the end. .
1. Please duly fill in all Descriptions in your own hand writing.
2. Incomplete Form will not be entertained & shall be re1urneu or be kept pending till the deficiency is removed
3. Attach attested Photograph, Copies of CNIC, Domicile, S.S.C & HSSC (BISE) & Attested Degree/ Cert1fica1es &
DMCs (in case of B.A/B.Sc & M.A/M .Sc P-1 & P-11 combined DMC).
In case of BS/B.SC H BCS, MCS, B.Com, BBA BA (H) and MBA etc, all the DMCs of all terms and Combined
Transcript DMC.
4. Attached Original Bank Receipt with from.
5. Fee remitted by Money Order will not be accepted. However Fee remitted through Bank Draft is
acceptable.
6. For lmmedia1e Issuance of Degree, the applicant must submit the prescribed Form, complete in all
respects before 11:00 AM on any worki ng day in the exam: Degree Sec1ion.
7. This University will not be held responsible for delay in preparation of Degree in stipulated duration due to the
incomplete/wrong information/ Result late and UFM cases/ Non Availability of Controller of Examinations/Registrar/Vice
Chancellor OR any other authorized signatories etc.
8. In Examination, where late Field of Spcclaliza1ion to be mentioned in the Degree, a Certificate to this effec1 is to
be furnished from the concerned Head of Department/institution.
9. Colleges/ Late College/ University students are required to get Degree Form attested by the respective
Principal/Chairmen /Director through which they appeared & passed the relevant Examinations.
10. Candidates applying for any degree after improvement of Marks/Division Should submit/return the
existing i ssued Original Degree.
10. Degree is not permissible within 03 months period after declaration of Result concerned.
11. More over fee once deposited. Is neither Refundable, Not adjustable, under any circumstances, if otherwise eligible.
12. For Appling Duplicate degree, Please Attach the attested Photocopies of the Following Documents.

(I ) Original Degree (if available)

(2) FIR (Original) of Police Station.
(3) Cutting of at least two different Newspapers.
(4) All D.M.Cs of the Degree lost.
(5) Copy of CNIC.
(6) Affidavit t on stamp paper of Rs.20/-

13. All the ORIGINAL TESTIMONIALS/Documents etc. i.e CNIC, BISE, Matric Certificate., BISE/ BTE
Intermediate Certificate/ Diploma , B.A, B.Sc. Degrees, M.A. M .Sc Degree, CT for B.Ed; Degree B.Ed: Degree for M.Ed
Degree. All DMCs & Transcripts for the Required Degree must be submitted to the Incharge. Exam; Degree Section, for
Spot/ Prior VERIFICATION, at the Time of formal submission of Degree Issuance Applica1ion Form, in the absence of
which, No Application Form will be entertained/ Received by the Exam: Degree Section, under the Rules/ Regulations and
policy of the ULM Lakki Marwat, Attes1ed Pho1os1ate copies of all of the above documents must be attached wi1h 1he
degree
Application FORM
BANK A/C :
Required Fee Schedule.as on Date·

Naturel Stage Duration of Original Degree Fee Duplicate Degree

of Degree Process/ Issuance Rates Fee Rate
Normal Within 15 days Rs. 2000.00 Rs. 2000.00
Most Urgent Within 3 days Rs. 4000.00 Rs. 4000.00
Immediate Within 24 hours Rs. 6000.00 Rs. 6000.00
Verification Fee Within 3 days Rs. 500.00 Rs. 500.00
Note:- immediate nature of Degree issuance of Degree is permissible only subject to the condition that All the
concerned I Au1hnrized Signatories are present in their offices, for issuance process of the Original Degree.

14. The university 1y reserves all the Rights for enhancement & Revision in the rates of required Fee.
Imposed time to time. Under he Rules. Regular inns & Policy of this University.

Date: 15. Signature of the Candidate______________________________