[University Name]

Performa for Laptop Distribution Scheme

Name Fathers Name CNIC #(Attach the Copy of
CNIC)

Contact # $mai" Pro%ram # C"ass of Last $&am

Detai"s of Last $&am' Tota" !ar s (btaine) !ar s * +o"" No (Attach Copy of +esu"t Car))

Tic Appropriate (!a"e # Fema"e)

Percenta%e * +e% No

$&am System (Annua" # Semester)

Present Pro%ram # C"ass Department Session' !ornin% # $,enin% +o"" No Documents to be attached: -. Copy of student ID card or Fee Voucher /. Copy of CNIC 0. Copy of Result Card (Previous Degree
I declare that the above mentioned details are true and I have NOTReceived the Award of Laptopbefore

Signature of the Student

Si%nature of 1(D

In case of providing !rong information" #niversity !ill ta$e strict action against the student