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3/21/2017 StudentEnrolmentPrint

ALLAMAIQBALOPENUNIVERSITY

FormNo 227846
ADMISSIONFORM WebLot No2
FOROFFICEUSEONLY
NAMEOFPROGRAM:M.ED(M.ED(1YEAR)STE)
BatchNO


SEMESTER:SPRING2017 RT DOMICILEDISTT

1. RegistrationNo.(IfyouareRegisteredwithAIOU) 14PSA05254

PERSONALINFORMATION

3. Name: Mr. ROHANKHURSHEED

4. FatherName: S/O KHURSHEEDAHMAD

5 PostalAddress: F.G.PUBLICSCHOOLMANORA,KARACHI

PostalDistrict: KARACHI(060) PostalTehsil: KARACHI(00)

6.DateofBirth: 28Feb1991 7.MobileNo: 03046200226


8.CNICNo/BFormNo: 3840330730023
9.Occupation: STUDENT 10.Qualification: Bachelors
11.Religion: ISLAM 12.Domicile: SARGODHA(029)
ForAccountUse

S.no Code CourseTitle

1 0837 EDUCATIONALRESEARCH

2 0838 CURRICULUMDEVELOPMENT&INSTRUCTIONS

3 0840 EDUCATIONALPSYCHOLOGY

4 0831 FOUNDATIONSOFEDUCATION

5 6505 ISLAMICSYSTEMOFEDUCATION

6 6507 EDUCATIONALMEASUREMENT&EVALUATION

13. FOROFFICIALUSEONLY

DISTT TEH EDU LV CLUS ST BANKCODE FT FEE


Coding Eligibility
BANKCHALLANNo.
NameofBankand

Branch
BankChallanNo. 227846
14.
=13115/(thirteenthousandonehundred
AmountRs.
fifteenonly) StudentSignature
Dated _____________

http://online.aiou.edu.pk/print.asp?FormNumber=227846 1/3
3/21/2017 StudentEnrolmentPrint

15.AcademicInformation
Level Year Grade/Division MajorSubjects Board/University

Matric 2006 2ND SCIENCE BISE,SARGODHA

Intermediate 2008 1ST COMMERCE PBTE,LAHORE

Graduation 2013 2ND PSYCHOLOGY UNIVERSITYOFSARGODHA

Masters 2015 1ST BED AIOU,ISLMABAD

MS/Mphil

Others

16.ProfessionalExperience(Ifany)
S.No Organization JobTitle MainAssigment From To

17.Instructions/RegulationRegardingADMISSION
1.Admissionwillnotbegrantediftheadmissionformisincompleteinanyrespect(e.g.lessfee,unattestedphotocopiesofcertificates,partial
information).

2.Admissionwillnotbegrantediftheformorfeeisdepositedotherthanprocedurementionedintheprospectus.

3.Photocopyoftheaddmissionformisnotacceptable.
4.Candidatesareadvisedtowritetheiraddressclearandlegiblehandwriting.Universityreservestherightnottograntadmissionincaseof
postaladdressgivenwithP.O.Boxnumberorinthecaseofsomeoneotherthancandidate'sname.

5.Pasteonepictureontheaddmissionform.Donotstaple
6.Duringfillingform,pleasewritecoursecodeverycarefullybecausetheadmissionismadeaccordingtocoursecodementionedbystudent.
Ifthestudentleavethecoursecodeshis/heradmissionwillbefinalizedaspertitleofcourses.Incaseofanyfault/discrepencythestudentwill
havetodepositchangeofcoursefeebeforetheduedateoffirstassigment.Incaseoffailingtodosostudenthimselfwillberesponsibleforit.

18.AFFIDAVIT

IROHANKHURSHEEDS/OKHURSHEEDAHMADsolemnlyagreethat:
1.InformationgiveninadmissionformforSpring/Autumnsemestersaretruetomyknowledge.Ihavestudied/readalltherulesand
conditionsthroughlybeforefillinginadmissionform.

2.Iwillabidebytheuniversityrulesconstitutedfromtimetotime.

3.Incaseoflitigation,IwillfilemyappealinthecourtsofRawalpindiandIslamabadonly.
4.Myadmissionisprovisionalandtheuniversityreservestherighttocancelmyadmissionandconfiscatemyduesifinformationgivenby
meisworng.
5.Incaseofadmissionintwoprogramesatatime,theuniversityisauthorizetocanceladmissionofthefreshprogrameandconfiscatefee
asperrules.

6.Ihavefilledintheadmissionformwiththeconsentofmyparents/guardian.

7.IgivemyconsenttoAIOUtousemyMobileNo.fornecessarycommunicationbetweenAIOUandmyself.
8.Ialsodeclearthatincaseofprovisionofanywrongstatment/informationatthetimeofgettingadmission/deviationfromAIOU
prescribedrules/policyintheadvertisement/Prospectusandsubmissionoffakedegreeorthirddivisiononmypart(student),theuniversityhas
therighttocancelmyadmissionandstopmydegree.
PermanentAddress: HOUSENO.768/DOLDST.TOWN,TehsilSARGODHA(00),DistricSARGODHA(029)
MobileNo: 03046200226 Email: rohan.khursheed@gmail.com
Dated: 21Mar2017


SignatureofApplicant

http://online.aiou.edu.pk/print.asp?FormNumber=227846 2/3
3/21/2017 StudentEnrolmentPrint

ALLAMAIQBALOPENUNIVERSITY
CopyNo.1(ForAdmissionDepartment)
NBP(CA4839) ABL(0010000336340088) FWBL(CD1001457) MCB(TBM0606280611002439) ALFALAH(00821003467707)

ChallanNo: 227846 Date: _____________

Name: ROHANKHURSHEED FatherName: KHURSHEEDAHMAD

PostalAddress: F.G.PUBLICSCHOOLMANORA,KARACHI,TehsilKARACHI,DistricKARACHI

Amount: =13115/ Amountinwords: thirteenthousandonehundredfifteenonly

Program: M.ED(M.ED(1YEAR)STE) Semester: SPRING2017

BankBranchCode: BankOfficerSignature

ALLAMAIQBALOPENUNIVERSITY
CopyNo2.(ForAccountDepartment)
NBP(CA4839) ABL(0010000336340088) FWBL(CD1001457) MCB(TBM0606280611002439) ALFALAH(00821003467707)

ChallanNo: 227846 Date: _____________

Name: ROHANKHURSHEED FatherName: KHURSHEEDAHMAD

PostalAddress: F.G.PUBLICSCHOOLMANORA,KARACHI,TehsilKARACHI,DistricKARACHI

Amount: =13115/ Amountinwords: thirteenthousandonehundredfifteenonly

Program: M.ED(M.ED(1YEAR)STE) Semester: SPRING2017

BankBranchCode: BankOfficerSignature

ALLAMAIQBALOPENUNIVERSITY
CopyNo3.(ForBankBranch)
NBP(CA4839) ABL(0010000336340088) FWBL(CD1001457) MCB(TBM0606280611002439) ALFALAH(00821003467707)

ChallanNo: 227846 Date: _____________

Name: ROHANKHURSHEED FatherName: KHURSHEEDAHMAD

PostalAddress: F.G.PUBLICSCHOOLMANORA,KARACHI,TehsilKARACHI,DistricKARACHI

Amount: =13115/ Amountinwords: thirteenthousandonehundredfifteenonly

Program: M.ED(M.ED(1YEAR)STE) Semester: SPRING2017

BankBranchCode: BankOfficerSignature

ALLAMAIQBALOPENUNIVERSITY
CopyNo4.(ForStudent)
NBP(CA4839) ABL(0010000336340088) FWBL(CD1001457) MCB(TBM0606280611002439) ALFALAH(00821003467707)

ChallanNo: 227846 Date: _____________

Name: ROHANKHURSHEED FatherName: KHURSHEEDAHMAD

PostalAddress: F.G.PUBLICSCHOOLMANORA,KARACHI,TehsilKARACHI,DistricKARACHI

Amount: =13115/ Amountinwords: thirteenthousandonehundredfifteenonly

Program: M.ED(M.ED(1YEAR)STE) Semester: SPRING2017

BankBranchCode: BankOfficerSignature

http://online.aiou.edu.pk/print.asp?FormNumber=227846 3/3