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UMT Graduate Form

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University of Management and Technology

APPLICATION FOR ADMISSION


Fall 2024

For Official Use only (NOT to be filled by Candidate)

Serial # UMT Student ID:

VPN:F2024W030748 Reference #

Program Preference:

1) Doctor of Physiotherapy 2) Doctor of Physiotherapy

3) Doctor of Physiotherapy 4) Doctor of Physiotherapy

PERSONAL DETAILS
Name (As appearing on your matric certificate): LEEN KAMAL KHAN Gender: Female

Student’s CNIC # or Form B # (If applicable): 3520268617788 Blood Group: O+


(tel:3520268617788)

Correspondence Address: Ilim din colony street no 1 house no 1 Shahdara Lahore

Local Area/Town: Shahdara

Permanent Address: Ilim din colony street no 1 house no 1 Shahdara Lahore

Email(1): [email protected] Email(2): Date of Birth: 02/08/2005

Mobile #: 923148547029 (tel:923148547029) Ph #: Domicile: Lahore

Province: Punjab City: Lahore Country of Residence: Pakistan

Nationality: Pakistan Learning Disability: NO

OVERSEAS / INTERNATIONAL STUDENT ONLY (Pakistan residents are not required to fill this section)
Country of Residence: Overseas Pakistani: NO Passport #:

ACADEMIC RECORD
Qualification Roll Total Obtained Second Part
Board Institute Year Subject Status
Level No. Marks/CGPA Marks/CGPA Roll No

SDC St jeanne antide Bible high Physics biology


Matric 190155 2022 1100 826 completed
LAHORE school chemistry

BISE Physics chemistry


FSc(Pre-Med) 532831 Islamia degree collage 2024 1200 722 completed
PUNJAB biology

REFERENCES
Name CNIC Organization Designation Email Id Contact No Address

LEEN [email protected] 923148547029 (tel:923148547029)

SHAMIM [email protected] 923334686495 (tel:923334686495)

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NTS/MCAT/ECAT

FAMILY INFORMATION
Father’s Name: SHAMIM KAMAL C.N.I.C. #: 3520240782988 Mobile Number: 923148547029 (tel:923148547029)

Address:

Office Telephone: Organization: Designation:

Mother's Name: C.N.I.C. #: Mobile Number:

Address:

Office Telephone: Organization: Designation:

ACADEMIC ACHIEVEMENT

EXTRACURRICULAR ACHIEVEMENTS/AWARDS

PUBLICATIONS

HEC SCHOLARSHIPS

SPORTS AWARDS

HOW DID YOU KNOW ABOUT UMT?


Source: UMT Sub Source: Referred by UMT Staff

UNDERTAKING
Mr/Miss/Ms LEEN KAMAL KHAN Son/Daughter of SHAMIM KAMAL

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 University of
Management and Technology. I also solemnly affirm, declare and undertake that:

The University reserves the rights to decline the admission form or cancel the admission in case of providing incorrect/fake or incomplete information by the applicant.
In case of provisional admission, the candidate shall have to submit the requisite academic certificate/transcript/degree at UMT Registrar office within three weeks
after commencement of classes.
Admission at UMT stands cancelled, if the applicant fails to pass the Intermediate/Graduation or any prerequisite examination with minimum required marks or CGPA
as per eligibility criteria of the respective degree program.
No claim for fee refund will be entertained in case of cancellation of admission. Semester report/transcript of the earned credits shall stand cancelled and non-
transferable.
HEC rules will be followed in case of tuition fee refund. Seeking admission after commencement of classes shall be done on the onus of candidate and in case of fee
refund the date of commencement of class will be considered according to the University academic calendar.
The University reserves the rights to cancel or terminate the admission on not meeting the admission criteria of the subject degree program. Therefore, primarily it is
the candidate responsibility to submit the result intimation card / transcript of the most recent qualification.
In case of foreign qualification or in case where deemed necessary, the equivalence certificate from the Higher Education Commission (HEC) is mandatory for
bachelor’s, master’s or MS/MPhil degree.
In case of O/A level qualification and other equivalent foreign diploma, certificates or in case where deemed necessary, the candidate must have to submit an HSSC
equivalence certificate from IBCC (Inter Board Committee of Chairmen) Pakistan.
All admissions in engineering degree programs will be provisional therefore, UMT bears no responsibility if the Pakistan Engineering Council (PEC) declines to register
the applicant as a professional Engineer.
Graduates only from HEC recognized Institutes/Universities can only apply for admission in any degree program at UMT. In case you are from recognized batch then
provide HEC attested documents.
Scholarship/Financial assistance can be withdrawn on not maintaining the required CGPA in respective program as per UMT policies.
Applicant will abide by the rules and regulations enforced at UMT at present and those which may be enforced in the future.
Student having third division are not eligible to get admission in UMT, but if they want to apply at their own, no refund of application fee will be provided.

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Student Name LEEN KAMAL KHAN Father’s Name SHAMIM KAMAL

Student Signature Father’s Signature

Date Date

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