QUAID-I-AZAM UNIVERSITY ADMISSION DATA SUMMARY SHEET Form No. Nationality Domicile NOTE: ALL THE COLUMNS GIVEN BELOW ARE TO BE FILLED IN, INCOMPLETE FORMS PHOTO Applying for MPhil/MS/Ph.D. er: Spring/Fall Year Dis IPLINE APPLICANT'S NAME (IN BLOCK LETTER) FATHER'S NAME (IN BLOCK LETTER) PUTERIZED NATIONAL IDE! RD # Please Mention Passport No. in case of Foreign National DATE OF BIRTH SEX BLOOD GROUP POSTAL ADDRESS Tel No: ACADEMIC RECORD Year of | Total | Marks | GradeDiv.] — % Major | Board / Degree / Certificate Passing | Marks | Obtained | /CGPA Subjects | University Matriculation OR Equivalent Degree Certificate for Minimum 10 years of Edueato Intermediate OR Ei Certificate for Mini Education, valent Degres! rm 12 Years of Bachelors OR Equivalent Degrees for Minimum 14 years of Education Minimum 16 years of Education ~ Bachelors (4 years), © Masters 2 Years = other 4 5 years Degrees MPhIUM.S OR other Equivalent Degrees for Minimum 18 years of Education + Academie Distinctions (iTany). + Publications: (attach Copies) + Are you currently employed”Iryes, indicate the organization name & address + Have you ever been a student of Quaid-i-Azam University? It yes give details Programme Year: Specify the reasons for leaving (seizedicancelledothers + Ave you presently enrolled in collegeluniverstyinstitution? Ifyes, give details of institution along-with discipline and programme, Signature of the CandidateDECLARATION BY THE CANDIDATE: hereby solemnly affirm and declare: (@) THAT the information given inthis Admission Form is correct to the best of my knowledge and belief and if anything is found incorrect, Quaid-i-Azam University (QAU), shall have the right to cancel my admission and expel me from the University. (b) THATI promise to 2) abide by the Statutes, Rules and Regulations framed by the QAU and any other instructions issued from time to time; i). maintain good behavior during studies and while beingon Campus; (Git) work diligently and maintain dignity and prestige of QAU both on and off the Campus. (©) THAT undertake to be a full-time regular student of the QAU and shall not join any other programme of study or accept any ‘employment for the duration of the programmes registered, (in-service candidates are required to produce NOC/Study Leave duly sanctioned by the employers/authority). (@) THAT further undertake that I shall not claim hostel accommodation asa matter ofright ifadmitted to the QAU. (6) THAT promise to pay all the QAU dues regularly as and when required by the QAU (9) THAT hereby declare asa binding on me that as long as Tam a student I shall abide by al the Statutes, Rules and Regulations, in force atthe time of joining the QAU and framed subsequently I shall submit myself tothe discipline of the QAU authorities as exercised through its various Committees and Officers, (g) THATI shall not clainvapply for any financial support/fee waivers/exemptions once Iam admitted to the QAU on SelfFinance basis. Signature of the Cani DECLARATION BY FATHER/GUARDIAN (applicable for undergraduate and graduate candidates): Tam responsible for the behaviour and conduct of my son/daughter/ward, during his/her stay at the QAU and shall fully cooperate with the QAU authorities in this regard as/when/how required by the QAU. Iam enclosing a signed copy of my CNIC as proof of my undertaking, Signature of Parent/Guardian