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KPK-Educational Testing and Evaluation Agency (ETEA)

APPLICATION FORM
For ETEA GAT (General) for Admission to

Masters Degree Programs for Fall 2015


(Engineering & Non-Engineering) of UET Peshawar
Clip/ Staple one
recent Passport
Size
Photographs
(Back Attested)
here

Paste one recent


Passport Size
Photograph
without
Attestation here

Roll Number:
(To be filled in by ETEA)

*******************************************************************************************************************

FIELD OF SPECIALIZATION
(Please Tick the relevant field)

1)
2)
3)
4)
5)

Agricultural Engineering
Civil Engineering
Electrical Engineering
Mechanical Engineering
Chemical Engineering

6)
7)
8)
9)
10)

Mining Engineering
Mechatronics Engineering
Industrial Engineering
Computer Systems Engineering
Computer Software Engineering

11)
12)
13)
14)
15)

Telecommunication Engineering
Computer Science
Mathematics
Urban Infrastructure Engineering
Urban Infrastructure Planning & Management

1. NAME:
(Use Capital Letters)

2. Fathers Name
3. CNIC NO:

4. District of Domicile:
D D

5. Date of Birth:
7.

M M

Y Y

1 9

6. MOBILE NO. 0

(Mandatory) You will be informed through SMS

Postal Address: ________________________________________________________________________

ACADEMIC RECORD
Degree / Certificate

BOARD/ UNIVERSITY

Marks obt./ Total


marks or CGPA

Grade/
Division

Year of
Passing

Master
Bachelor (2 yrs.) /
Bachelor (4 yrs.)
HSSC
SSC

UNDERTAKING BY THE CANDIDATE:


I __________________________________________ S/D/W of. __________________________________) do hereby
solemnly declare that I have read all the instructions for appearing in the test and that I have filled the form. I further
affirm that the information given in the form are true and correct to the best of my knowledge and belief and I
understand that if any information is found wrong/untrue, disciplinary action will follow which may result in cancellation
of my test.

Signature of the Candidate: _____________________

Date: _____________

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NOTE:
Rs. 900/- must be deposited in any branch of HBL on the prescribed online deposit slip given below and Original Receipt
(ETEA copy) along with a copy of CNIC should be attached with the Application Form and should be submitted to ETEA
office (H.NO.46, Street-5, Defence Officers Colony, Khyber Road, Peshawar) through courier service or by hand latest by

28th August 2015. No Application Form will be accepted after closing Date. ETEA will not be responsible for late
th

receiving of Applications through courier, i.e. Applications received on 29 August shall not be entertained.

Please do not attach any Academic document with the Application Form. (Attach a copy of CNIC only.)
rd

Roll Number Slip/ Admit Card can be downloaded from www.etea.edu.pk on 3


allowed to sit in the Test without ETEA Roll Number Slip/ Admit Card.

September 2015. You will not be

Educational Testing & Evaluation Agency

Educational Testing & Evaluation Agency

ONLINE DEPOSIT SLIP

ONLINE DEPOSIT SLIP

BANK COPY

ETEA COPY

Branch Code: _________________

Date: ____/_____/_______

Branch Name: _______________________________________________

HABIB BANK

Note:

Branch Code: _________________

Date: ____/_____/_______

Branch Name: _______________________________________________

HABIB BANK

Ltd.

Ltd.

Remote Branch: Arbab Road Br. Peshawar Cantt. (1161)

Remote Branch: Arbab Road Br. Peshawar Cantt. (1161)

A/C Title: KP-ETEA

A/C Title: KP-ETEA

A/C No: 1161-79008466-03 (Freedom Account)

1. Bank Stamp is required on the Deposit slip.


2. Please Send the Original Deposit slip along Application
Form to the ETEA Office. (Application form without original
Deposit slip will not be entertained.)
3. Freedom Account. No Service Charges

Note:

1. Please Stamp both copies of deposit slip.


2. The Bank Must Return ETEA COPY to the Candidate
3. Deposit Slip will not accepted without Candidate CNIC/B Form No.
4. Freedom Account. No Service Charges

Applicants Name:

Applicants Name:

Fathers Name:

Fathers Name:

CNIC No/B-Form No:

CNIC No/B-Form No:

Amount (In Rs):

900/-

Amount (In Rs):

Amount (In Words):

Rupees Nine hundred only -

Applicant Signature

Cashier

Amount (In Words):

Officer

A/C No: 1161-79008466-03 (Freedom Account)

Applicant Signature

900/Rupees Nine hundred only -

Cashier

Officer