UNIVERSITY OF THE PUNJAB

APPLICATION FOR ADMISSION After Intermediate or equivalent Admission Year-2011

Application Form No.(For
office use) Department/ Centre/ Institute/ College: IMPORTANT INSTRUCTIONS: Please read the Instructions carefully. 1. Incomplete application shall not be entertained. 2. See departments prospectus to choose program(s) and its eligibility. 3. Against each program there are choices of session and seat category. 4. You can tick more than one session and seat category, if that program is being offered in that session and with that seat category Sr. # 1. 2. 3. PERSONAL BIO-DATA: 5. See prospectus for the categories of seats and session for each selected program Self Support Degree/ Program Morning Afternoon Evening/ Replica

B.Sc (Engg)/ BS/ BBIT/ Pharm-D/ B.Com/ BBA/ BFA/ LLB (5-years) or equivalent

Photograph Passport Size

Date of Receipt.(For
office use)

3.

1. NAME:

2. NIC:

3. NATIONALITY:_________________________________________

4.

FATHERS NAME:

5. FATHERS OCCUPATION: 7. FATHERS NIC: 8. GENDER: M F

6. MONTHLY INCOME:

9. DATE OF BIRTH: (dd/mm/yyyy)

10. MARITAL STATUS: 11. PERMANENT ADDRESS:

Married

Unmarried

12. MAILING ADDRESS: (If different than above)

13. TELEPH ONE:

with area code

14. MOB ILE :

9.
15. RELIGION: ________________________________ 16. DOMICILE: 18. BLOOD GROUP: ________________________________ ________________________________ 17. E-MAIL: ______________________________________

10.
19. IF FATHER DECEASED, NAME AND ADDRESS OF GUARDIAN WITH RELATIONSHIP:

20. REGISTRATION NUMBER:

Board:

Universit y:

21. ACADEMIC RECORD: Examining Body* Annual/ Suppl. GPA/Marks Total Obtained

Examination Passed Matric/O level F.A/F.Sc/A level or Equivalent Diploma (DAE) Other NAT/Entry Test *Board/University/College/School

Year

Roll No.

Division

Subjects

Tick if applicable

Hafiz-e-Quran

Have you ever been removed or expelled from any Institution? If yes, give details. Have you ever been convicted? If yes, give details. Were you ever admitted in any Department of Punjab University? If yes, give details. Are you employed? If yes, give details.

Yes No Yes No Yes No Yes No Department Session Designation Organization Program Roll No.

INSTRUCTION FOR APPLICANTS

1. All entries in the form must be made in block letters by the candidate in His /Her own handwriting. 2. Incomplete applications will not be accepted.
3. Each part /column of the application is to be filled, if any part/column is not applicable, write N/A against it.

4. Any candidate found to have made false or incorrect statement in the form is liable to expulsion.
5. Copies of all the relevant document must be attached with the application form 6. No benefit would be given for any document not attached with the application or produced after the closing date.

7. Unattested copies of the Documents are admissible. 8. Applicant shall submit original documents to the Institution at the time of admission. 9. The filled-in complete Application Form shall be deposited in the concerned Department, or sent through
Registered Post/ Courier Service. The Application Form must reach the Department by the last date given in Admission Notice advertised in the Newspaper & given on the University website.

10. CHECK LIST: Please Check; have you attached the following documents with the Application Form?
Sr.# DESCRIPTION A certificate of good moral character. An original Migration Certificate (if applicable). Copies of the Examinations Passed mentioned at Sr. No.21 NOC from the employer (for employees only). Three recent passport-size photographs. A copy of CNIC & Domicile of the Applicant. A copy of CNIC of the Applicants Father / Guardian. Hafiz-e-Quran Certificate (if applicable). Any other Please Specify. ( Yes No

UNDERTAKING
1. SOLEMNLY DECLARE THAT:

i.
ii.

I have neither joined nor shall join any other Institute during the course of my studies at the Punjab University. I am not in service /am in service (score out which does not apply). (A letter of permission from the employer is enclosed) I am not suffering from any infectious disease. I have not yet attained the age of twenty-six years. The entries made in this form are correct. SIGNATURE OF THE APPLICANT Date: _______________________

iii.
iv. v.

2.

UNDERTAKE TO:

i.
ii.

Abide by the Statues, Regulations (including the code of honour of Students, of University Calendar 1990 Vol. I) And Rules etc., framed by the University or the College/Institute/Department from time to time and shall be liable to any penalty including rustication / expulsion, in case of violation on my part; Show good behavior; Devote whole-heartedly to my studies and maintain the dignity and prestige of the University both in and outside the Campuses; Pay in time all dues and fines if any; That I undertake not to "indulge In politics", and, in case I violate this undertaking and "indulge in politics" admission by the University in any constituent College / Institute / Department, I shall be liable to expulsion College / Institute / Department without any notice under the order of the Vice Chancellor, which order shall be can be questioned only before the Supreme Court of Pakistan vide judgment / order of the Supreme Court of dated 1-7-1992. after my from the final and Pakistan

iii.
iv.

v.

3. 4.

I am joining this class with the express consent of my father / guardian, who agrees to be responsible for my good conduct and has appended his signature below in token thereof. I accept as binding on me, as long as I am a student, all Rules and Regulations in force at the time of joining and which might be framed subsequently. I accept as a condition of my admission the authority of the University that a student can be required to withdraw his/her name from the rolls, if in the opinion of the Vice-Chancellor/Principal/Chairman of the Department / Director of the Institute, his/her stay is not conducive to the welfare, either of himself/herself or others in the College / Department / Institute, if I fail to withdraw my name immediately, after being called upon to do so, it may be struck off the rolls of the College / Department / Institute without any further notice to me. I am at present staying with my parents / guardian / relative, in a recognized hostel / private lodging at the following address, and shall notify the new address, if there is any change. I undertake to take examination unconditionally every year as scheduled subject to any change whatsoever notified by the University.

5.

6. 7.

8.

I HAVE READ THE RELEVANT RULES AND REGULATIONS CONCERNING ADMISSION BEFORE SIGNING THIS APPLICATION.

________________________________ SIGNATURE OF FATHER/GUARDIAN Dated: __________________________

Attach attested photocopy of National Identity Card of Father / Guardian

_____________________________ SIGNATURE OF THE APPLICANT Dated: ______________________ Permanent Home Address:_____________________________ __________________________________________________ _________________________________________________ Telephone_________________________________________

Permanent Home Address:_____________________________ ______________________________________________ ____ ______________________________________________ ___ Telephone____________________________________ _____

Acknowledgement Receipt
Admission Form No. _______________________ Year: _______________________ Session: ___________________

Department/ Centre/ Institute/ College: _______________________________________________________________

Name of the applicant: _______________________________________________________________________________________ Son/Daughter of _____________________________________________________________________________________________ Date of Receipt: __________________________ Checked and Received by (Signature): _______________________________________