APPLICATION FOR ADMISSION

PERSONAL DATA
Mr / Ms / Mrs: Fathers Name: Date of Birth: National Identity Card Number: Passport Number for Foreign Students: Mailing Address: Permanent Address: In case of emergency contact: Address: Telephone: Name: Telephone: Nationality:

Telephone:

COURSE DATA
Program Applied For: Session: Morning Specialization: Evening / Weekend Distance Learning

EDUCATIONAL QUALIFICATIONS
Degree / Diploma / Certificate Institution Attended Board / University Grade / Division Year of Passing

PROFESSIONAL QUALIFICATIONS
Qualification Institution Attended Grade / Division Year of Passing Course Duration

WORK EXPERIENCE
Job Title Organization Address Duration Reason for Leaving

From To From To From To

HONORS / MEDALS / POSITIONS / SCHOLARSHIPS

Achievements Institution / Occasion Year

EXTRA CURRICULAR ACTIVITIES

FINANCIAL ASSISTANCE
Sponsor for your Education Parents Guardian Self Others (specify)____________________ Monthly Income of Sponsor Less than Rs 10,000 Rs 10,000 20,000 Above 20,000 Will you need financial assistance from Preston University as a needy student? Yes No

DECLARATION BY APPLICANT
DECLARATION I have read the Prospectus carefully and am fully aware of the details of the degree programs of Preston University, Pakistan. I undertake to pay fees and all other dues regularly to Preston University, Pakistan without delay and I undertake to abide by the rules and regulations of Preston University, Pakistan.

Signature of Applicant__________________________________

Date__________________

DECLARATION BY PARENT / GUARDIAN

DECLARATION

This is to certify that my son / daughter / ward named_________________________________ Is applying for Preston University degree program with my permission and with my full knowledge of the Programs and I undertake to arrange payment of fees and all other dues to Preston University regularly and without delay. I further undertake to ensure that my son / daughter / ward does not get involved in politics and that he / she abides by the rules and regulations of Preston University, Pakistan.

Name of Parent / Guardian Address

NIC Number Telephone

Signature of Parent / Guardian___________________________

Date__________________