UNIVERSITY COLLEGE LAHORE

[a project of UCL (Pvt.) Ltd.] 1.5km from Thokar Niaz Baig, Raiwind Road, Lahore Ph: +92 42 37515851-3, Fax: +92 42 37515854 Email: admissions@ucl.edu.pk, URL: www.ucl.edu.pk

FOR OFFICE USE ONLY

(3 photographs)

APPLICATION FOR ADMISSION AS LEVEL & A LEVEL

SECTION I: PERSONAL Please complete in block capitals. Applicants Name Date of Birth Nationality E-mail Address Parents Name Address Fax

Applicant registered on Reg. No Interviewed on Accepted

Place of Birth Male

Female

Students Cell Phone: Profession/Occupation Phones: Residence Office

Conditional

Rejected

OFFER LETTER CONDITIONS

Guardians Name & Address (if different from Parents) Phones: Residence Fax Office

Mobile

Reason(s) for appointing the guardian:

Mobile

Name & class of any brother(s)/sister(s) already studying at UCL or Bloomfield Hall:

SECTION II: FINANCIAL DATA Name/address/profession of the person(s) responsible for the payment of tuition fee and other expenses.

SECTION III: PERSONALITY & HEALTH

Extra-curricular activities/sports/hobbies Health (state any health problems that require special attention or concern)

SECTION IV: ACADEMIC

Name and address of school last attended

O Level (or equivalent) examination results. In the Exam Grade column write RA if results are awaited and TBT if exams are yet to be taken. Subject Exam Board Exam Session Exam Grade 1 2 3 4 5 6 7 8 9

SECTION V: SUBJECT COMBINATIONS

Applicant must select a minimum of three and a maximum of four subjects from amongst the following. Please tick the subjects that you wish to take. Chemistry OR Accounting OR Sociology OR Computing* Mathematics OR Literature in English OR Environmental Management Physics OR Economics OR Psychology Biology OR Business Studies OR Further Mathematics History OR Applied ICT* OR Art & Design OR Law Urdu OR General Paper OR English Language OR Thinking Skills * Applied Information Communication Technology and Computing cannot be taken together. NOTE: A subject is taught if at least six students are enrolled.

SECTION VI: DECLARATION

I wish to enroll my son/daughter named _______________________________________________ at University College Lahore. I have read the college prospectus and agree to abide by the terms/conditions and the rules and regulations given therein. I attach the following documents in support of this application: a. 3 passport size photographs b. evidence of date of birth c. health certificate d. academic reference (for non-UCL student) Signature of parent/guardian Signatorys Name Signatorys relationship with the applicant date

ACADEMIC REFERENCE (NOT FOR BLOOMFIELD HALL STUDENTS) (To be completed by the referee)

Applicants Name:

Referees Name

Name of Institution and Address

1.

Have you personally confirmed the validity of the information provided by the applicant in the Admission Form? Yes [ ] No [ ]

2.

How do you assess the applicants proficiency in English? Please tick the appropriate box: Spoken Written Excellent [ ] [ ] Good [ ] [ ] Average [ ] [ ] Below Average [ ] [ ]

3.

How do you rate the applicants ability in the following areas? Please tick the appropriate box: Conceptual understanding Industry and diligence Motivation Imagination Sense of responsibility Excellent [ ] [ ] [ ] [ ] [ ] Good [ ] [ ] [ ] [ ] [ ] Average [ ] [ ] [ ] [ ] [ ] Below Average [ ] [ ] [ ] [ ] [ ]

4.

Please write the grades that you expect the applicant to attain in the O Level (or equivalent) exams. Subject Exam Title Exam Board Exam Session Expected Grade

1 2 3 4 5 6 7 8 5. 9 Please comment on the applicants behavior, manners and sociability. (Attach an additional page if needed)

6.

In terms of the applicants ability to cope with A Level studies, do you recommend the applicant (please tick where appropriate) [ ] [ ] Very strongly With reservation [ ] [ ] Strongly With great reservation

Official stamp

Signature Date

Designation