Undertaking

(on stamp paper of Rs. 20/-)

I, Mr./Ms./Mrs. ________________________ S/D/O_________________________as on
(date of day of distribution of laptops) ________________am abonafidestudentin
the_________________ program (copy attached) under Registration No.
________________________ at COMSATS Institute of Information Technology (CIIT),
____________ Campus.
I intend to receive Laptop under the Prime Minister Laptop Scheme and hereby solemnly
declare that:
I have not received laptop under any Federal or Provincial Governments schemes;
I am not enrolled in a Distance Learning Program of any of the higher education
institutes; and
Further undertakes that if any of my credentials are found incorrect during the period of
my studies in CIIT, the management of CIIT is at liberty to take any legal action against
me.
Signature: ____________________
Name: ________________________
Fathers/Guardians Name-----------------------CNIC No. _________________________
Contact No. ____________________
Address: ------------------------------------

Counter Signed and stamped by: _____________________________

(Incharge, Academics of concerned Campus)