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University of Central Punjab: Application Form

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University of Central Punjab

Lahore
Term: Fall 2022 www.ucp.edu.pk Candidate Ref. #: 390432
1 - Khayaban-e-Jinnah Road, Johar Town, Lahore.UAN:(+92) 080-000-827, Fax:+92-42-35954892, ([email protected])
APPLICATION FORM
Program Applied for: Bachelor of Science (Software Engineering)
2nd Priority: Bachelor of Science (Data Science)
3rd Priority: BS Artificial Intelligence
PERSONAL INFORMATION
Candidate's Name: Muhammad Junaid Khadim
Candidate CNIC/B-Form 36603-2567582-3
Candidate's Father Name: Khadim Hussain
Candidate's Email: [email protected]
Mailing Address: [email protected]

Permanent Address: vehari city luddan basti ghulam-shah

CNIC of Fee Payer: 36603-0993040-9 Fee Payer Name: Nusrat Rani


Date of Birth: 05/06/2002 Nationality: PAKISTAN
Religion: Islam Gender: Male
Candidate’s Mobile #: 03347790562 Father's Mobile 03347790562
Guardian Name: Khadim Hussain Guardian Mobile 03347790562
Mother's Name: Nusrat Rani Domicile: Vehari
Dual Nationality:

ACADEMIC DETAILS
Title of Certificate/ Degree Title Passing Year Total Obtained Percentage Roll Number Board/University Status
Marks/CGPA Marks/CGPA
Higher Secondary ICSCS 2022 525 302 57.52 MTN Awaiting
School Certificate

Secondary School MAT 2020 1100 889 80.82 304739 MTN Declared
Certification

NEED BASED SCHOLARSHIP


Father's Occupation Job Status Father's Monthly Residential Family
Income Status Members
labor Self Employee 25000 Owned 9

UNDERTAKING
1- I affirm that all the information supplied is complete and accurate to the best of my knowledge and any misrepresentation of facts can lead to
refusal of admission/cancellation of admission/dismissal from the University or any legal action.

2- For result awaiting students:"I Certify that I have already taken the exam on the basis of which I am seeking admission and will submit the result on
or before the Friday of the seventh academic week of the semester. I understand that I shall not be allowed to sit in the examinations if I failed to do
so. I also understand that my admission shall stand cancelled forthwith if I failed to attain the requisite percentage and any refund of fee would be in
accordance with the University Fee Refund Policy."

3- I undertake to deposit with the admission office immediately but not later than the completion of the 1st Semester, a copy of my previous mark
sheet attested by IBCC/Board/HEC whichever is applicable. Should I fail to do so I may be dropped from the program and no fee refund/adjustment
shall be made to me in such an eventuality.

4- I shall devote myself wholeheartedly to my studies, and maintain the dignity and prestige of the University within and outside the campus, and will
abide by the academic rules and the codes of discipline, and shall be liable to any penalty including rustication/expulsion from the University in case
of any violation on my part.
5- I Shall abide by the rules and regulations of the Univeristy.

12/08/2022 Khadim Hussain Muhammad Junaid Khadim


Date Father's/Guardian's Candidate's Signature

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