Registration/Tracking No.

QUAID-I-AZAM UNIVERSITY

For BS/Pharm.D/LL.B

ADMISSION DATA SUMMARY SHEET

Form No.

PLEASE ENCIRCLE THE PROVINCE CODE

Nationality

AJK
BLCH
FATA
KPK
PNJB
SNDH (R)
SNDH (U)

Domicile

City

Town/Tehsil

District

State/Province

AZAD JAMMU & KASHMIR

BALOCHISTAN
FED. ADMINS. TRIBAL AREA
KHYBER PAKHTUNKHWA
PUNJAB
SINDH (RURAL)
SINDH (URBAN)

PHOTO

NOTE: ALL THE COLUMNS GIVEN BELOW ARE TO BE FILLED, INCOMPLETE FORM
WILL NOT BE ENTERTAINED
APPLICANT'S NAME (IN BLOCK LETTER)

FATHER'S NAME (IN BLOCK LETTER)

DATE OF BIRTH

SEX

BLOOD GROUP

COMPUTERIZED NATIONAL IDENTITY CARD # Please

Mention Passport No. in case of Foreign National

POSTAL ADDRESS

Tel No:

email:

ACADEMIC RECORD
Matric, SSC, O Level etc. with Equivalence Certificate
Total Marks

F.Sc./ICS/F.A/I.Com. A Level etc. with Equivalence Certificate

Marks Obtained

Marks Obtained

Part-I

Marks Obtained

Total Marks

Part-II

Total Marks

NOTE: The candidate must mention the box below certify his intermediate TYPE AND PERCENTAGE:
Fsc - Pre - Medical
Part-I%
Part-II%

Fsc - Pre - Engineering

Part-I%
Part-II%

ICS
Part-I%

Part-II%

Part-I%

Others
Part-II%

Encircle one of the following, if desired to apply on Reserved Seats

1.

Minority

2.

Disabled Person

3.

4.

Sports

5.

Any Other

6.

Children of Army Personnel

DISCIPLINES/SUBJECTS CODE LIST

Faculty of Natural Sciences

Faculty of Biological Sciences

Faculty of Social Sciences

CODE
BS COM
BS CHM
BS ELE
BS GEO
BS MAT
BS IT
BS PHY
BS STS

CODE
BS BCH
BS BIT
BS BIF
BS BOT
BS ENV
BS MIC
BS ZOO
BD PHM

CODE
BS BBA
BS ECO
BS IR
BS POL
BH LLB

DISCIPLINE
Computer Science
Chemistry
Electronics
Geophysics
Mathematics
Information Technology
Physics
Statistics

DISCIPLINE
Biochemistry
Biotechnology
Bioinformatics
Botany
Environmental Science
Microbiology
Zoology
Pharm-D

DISCIPLINE
Business Administration
Economics
International Relation
Political Science
L.L.B

DISCIPLINE PRIORITIES

Priority
1st
2nd
3rd

Subject Code

Regular/Self Finance

Priority
4th
5th
6th

Subject Code

Regular/Self Finance

Signature of the Candidate

DECLARATION BY THE CANDIDATE:

I hereby solemnly affirm and declare:

(a) THAT the information given in this 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) THAT I promise to:
(i) abide by the Statutes, Rules and Regulations framed by the QAU and any other instructions issued from time to time;
(ii) maintain good behavior during studies and while being on Campus;
(iii) work diligently and maintain dignity and prestige of QAU both on and off the Campus.
(c) THAT I 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).
(d) THAT I further undertake that I shall not claim hostel accommodation as a matter of right if admitted to the QAU.
(e) THAT I promise to pay all the QAU dues regularly as and when required by the QAU.
(f) THAT I hereby declare as a binding on me that as long as I am a student I shall abide by all the Statutes, Rules and Regulations, in
force at the time of joining the QAU and framed subsequently. I shall submit myself to the discipline of the QAU authorities as
exercised through its various Committees and Officers.
(g) THAT I shall not claim/apply for any financial support/fee waivers/exemptions once I am admitted to the QAU on Self-Finance
basis.

Signature of the Candidate

DECLARATION BY FATHER/GUARDIAN (applicable for undergraduate and graduate candidates):

I am 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. I am enclosing a signed copy of my CNIC
as proof of my undertaking.

Signature of Parent/Guardian