SECRETARIAT HIGHER EDUCATION

NOMINATION BOARD

B.Sc. Engineering

For office Use only:

APPLICATION FORM

S.No.:________________
Date:____________________

FOR NOMINATION AGAINST RESERVED QUOTA SEATS IN VARIOUS INSTITUTIONS IN ENGINEERING UNIVERSITIES
IN THE COUNTRY FOR AJ&K FOR THE ACADEMIC SESSION ________________
DISTRICT/UNIT:__________________

1.
2.

Name of Candidate S Y E D - M U H A M M A D - N A V E E D
(in block letters)
- U R - R E H M A N
Fathers Name
S Y E D - M U H A M M A D - A T I Q - U
(in block letters) R - R E H M A N

3.

Date of Birth

4.

Postal Address
-

5.

1 9 9 9

S Y E D - M U H A M M A D - N A V E E D
- U R - R E H M A N - C / O - D F O H A V E L I
K A H U T T A A J K

Choice

Civil

01

Electrical

02

Mechanical

03

Electronics

14

Mining Engineering

16

Architecture/Building Architecture

15

Computer System Engineering (CS)

05

Software Engineering(S/W)

04

Chemical

13

10

Geological

12

11

Industrial

11

12

City & Regional Planning (CRP)

10

13

Total Quality & Technology Management (TQTM)

09

14

Agriculture

08

15

Telecommunication

06

16

Metallurgical

07

Choice of Institutions:

Photograph

(Write 1,2,3. in the box of your choice and as order of preference).

Engineering Colleges

Choice

S.No.

Engineering Colleges

Choice

University of Engg. & Tech. Lahore (Main Campus)

01

Islamia University Bahawalpur

10

University of Engg. & Tech. Lahore (Kala Shah Kaku Campus) 02

University of Engg. & Tech. Peshawar

07

University of Engg. & Tech. Lahore (Rachna College Campus) 03

10

Quaid-e-Awam University, (Nawabshah Campuses)

11

University of Engg. & Tech. Lahore (Faisalabad Campus)

04

11

Quaid-e-Awam University, (Larkana Campuses)

12

University of the Punjab Lahore

08

12

University of Engg. & Tech. NED Karachi

13

Govt. College University Lahore

09

13

Mehran University of Engg. & Tech. Jamshoro

05

University of Engg. & Tech. Taxila

06

14

Baluchistan University of Engg. & Tech. Khuzdar

14

Academic Record:(O and A level pass candidates must provide equivalence certificate)
S.NO.

8.

Subject

S.No.

7.

Preference of Courses: (Write 1,2,3. in the box as your choice in order of preference).
S.No.

6.

QUALIFICATION

BOARD / UNITERISTY

YEAR OF PASSING

Metric/ O Level

FBISE ISLAMABAD

2014

F.Sc./D.A.E/ A Level

AJK BISE MIRPUR

2015

Entry Test Punjab

Entry Test KPK

Hafiz Quran

MARKS OBTAINED
928

Whether the marks in F.Sc. improved (Write Yes or No in the box).

TOTAL MARKS

%AGE

1050

88.3

9.

Whether applying for nomination for

(Tick the relevant box)

10.

If applying for the 2nd and 3rd time

state the previous merit position

the first time

the 2nd time

the 3rd time

F.Sc

Entry Test

Year

1st
2nd

DOCUMENTS TO BE ATTACHED(ATTESTED)
1.

Metric Certificate / Marks Sheet

2 Copies

2.

F.Sc. Marks Sheet

2 Copies

3.

State Subject Certificate

2 Copies

4.

Permanent Residence Certificate (PRC)

2 Copies

5.

Domicile Certificate

2 Copies

6.

Medical Fitness Certificate

2 Copies

7.

Character Certificate

2 Copies

8.

Photographs (Recent Passport Size)

4 Nos.

9.
10.

Affidavit (BLANK Worth Rs. 20/-)

Hafiz Quran Certificate

1 Copy
2 Copies

(Certified Merit List by Director Ammor-E-Deenia)

INSTRUCTIONS:
1.

All academic and other certificates must be attested. Provisional PRC, State Subject, Domicile Certificate
shall not be accepted in any case.

2.

Correction / Alteration in choices by the applicant, after submission of his/her first application form, will not
be allowed.

3.

Over writing and use of ink remover is not allowed.

4.

Best result in case of willingly submission of more than one entry test result, shall be counted for
determination of merit and allotment of institution if candidate are otherwise eligible.

5.

Application Fee (Non-refundable) B.Sc. Engineering (General Seats Rs.1000/-, Self-finance: Rs.1,500/-)

CERTIFICATE:
Certified that the particulars / documents submitted be me mentioned in the admission form are correct to the best
of my knowledge and belief. If anything found to be incorrect, I am likely to be debarred from admission /
nomination.
Postal Address:
Nomination Board,
Block#10,Room#1004,
New Secretariat, Chatter Domail,
Muzaffarabad, Azad Kashmir.
Tel: 05822-924234
Fax: 05822-924234
Web: http://www.decajk.pk
Email: rifaqat.abbasi@yahoo.com

Signature of the Applicant

__________________________

Dated

__________________________

Phone Number

__________________________

Mobile Number

__________________________