Form-III

Application Form No. ________

BIODATA CARD
UNIVERSITY OF ENGINEERING AND TECHNOLOGY, LAHORE
To be submitted by the selected candidates only
A

PERSONAL RECORD
1. Name of Applicant ___________________________________________________
2. Discipline applied for _________________________________________________
3. Religion ___________________________________________________________
4. Place / Date of Birth _________________________________________________
5. Permanent Home Address ____________________________________________

FAMILY RECORD
1. Fathers Name _____________________________________________________
2. Fathers Occupation _________________________________________________
3. Fathers Address ____________________________________________________
4. Fathers Pay _______________________________________________________
5. Mothers Occupation and Pay (if any) ____________________________________
6. Income from any other source _________________________________________
7. Total Family Income (Monthly) _________________________________________

HEALTH RECORD
Blood Group ____________________
1. Mark of Identification _________________________________________________
2. Height_____________________________________________________________
3. Weight (Lbs)________________________________________________________
4. Chest _____________________________________________________________
5. Eyesight __________________________________________________________
6. Any Skin/infectious disease ___________________________________________
7. Any disability _______________________________________________________
8. Year of Last Medical Check-up _________________________________________

EXTRA CURRICULAR RECORD

1. Member/Office Bearer of any Team, Club Society __________________________
Social Organization during School/College period __________________________
2. Prizes or Distinction, if any ____________________________________________
3. Hobbies ___________________________________________________________

ACADEMIC RECORD
Name of
School College

Examination Passed

Year of Passing

Photograph

Percentage Marks

Division / Grade

Matriculation or equivalent Examination

F.Sc. or equivalent Examination
B.Sc.

UNDERTAKING
I solemnly undertake that before appearing in the Final Examination of the Bachelors Degree Programme, I shall make one person literate so
that he will be able to
i). read and write his name;
ii). make simple calculations;
iii). read and write a simple statement
iv). read a Qurani Qaaida, e.g. Yassarnal Quran

Dated : ___________________
Note : Please fill in all the portions

Signature of Candidate ___________________________