Graduate Registration ID ___________________ Graduate Name

Picture

___________________________________
Guest 1 Name: ____________________________

Guest 2 Name: ___________________________

Form for Security Passes for Graduates/Guests/Invitees

Part A
1)

Name

2) Fathers Name

3)

NIC No

4) Caste

5)

Religion

6) Sect

7)

Address
a.

Present

b.

Permanent

8)

Date of Birth

9) Profession

10)

Telephone No. Of

Res

11)

Education

12)

Criminal Record, if any

13)

Reason/ Nature of Visit during the Event

14)

Three References

S.#

Name

Fathers
Name

Address

Mob

Professio
n

Relation

Telephone

1
2
3

15)

Affiliation with any proscribed organization (if any)

16)

Whether borne on 4th Schedule of Anti Terrorism Act (ATA)?

17)

I hereby solemnly declare that he above stated information is correct to the best of my

knowledge.
Name

Signature

Part B
(To be filled by University Administration)
18)

Host Organization / Agency

Certified that Information provided by him/ her is correct to the best of my knowledge.
Moreover, the person is emotionally stable and nothing adverse against his/ her conduct has
come to notice, which may be hazardous from security point of view.
Name

Signature

Note:
You are allowed to invite maximum of 2 guests. You must fill the form for yourself and your guests
separately along with attested CNIC copy of each and submit /TCS it to Air University
Convocation/Placement office, PAF Complex, E-9 Islamabad by Mar 15, 2016. Non-Compliance of these
instructions will make you ineligible to registration /security clearance for Convocation.