University of Karachi

Performa for Laptop Distribution Scheme

For Students of MS/Mphil or PhD
Name
Fathers Name
CNIC #(Attach the Copy of CNIC)
Contact #

Tick Appropriate (Male / Female)

Email
Program / Class of Last Exam
Details of Last Exam:
Total Marks __________________ Obtained Marks ___________________ Percentage_____________________
Exam System (Annual / Semester) ______________ Roll No ____________ Reg No _________________________
(Attach Copy of Result Card)

Present Program / Class

Department
Session:
Morning / Evening
Roll No
Documents to be attached:
1. Copy of student ID card or Fee Voucher
2. Copy of CNIC
3. Copy of Result Card
I declare that the above mentioned details are true and I have NOTReceived the Award of Laptopbefore.

__________________
Signature of the Student

__________________
Signature of HOD

In case of providing wrong information, University will take strict action against the student