RIPHAH INTERNATIONAL UNIVERSITY

Sector I-14, Islamabad Online

Application for Admission QF-MU-Ad-001

Admission Applied for Session: For Office Use Only

‰Fall (September - December) ‰Spring (January - April)
Entry Test roll number: __________________________
‰Summer (May – August) ‰Year 20____________ Application received on:__________________________
Received by (sign):_______________________________

Admission Required in Program (Please mention preference of choice for four programs as option 1, 2, 3 & 4. In case the admission is not
granted in option 1 you will be then considered for option 2 and further accordingly)
‰MBBS ‰BS Media Production ‰MBA (Regular) ‰Other (Specify as offered)
‰BDS ‰BSc Biomedical Engineering ‰MBA (Modular)
‰D-Pharm ‰BSc Electrical Engineering ‰MBA(1yr+Proj)for BBA Hons
‰DPT ‰BS Mass Communication ‰MBA Islamic Business & Finance
‰t-DPT ‰PGD TV Production ‰MS Management Sciences
‰BBA ‰MA TV Production ‰MS Electrical Engineering
‰BS Software Engineering ‰MSc Mass. Communication ‰MS Mathematics
‰BS Information Technology ‰MS Mass. Communication ‰MSc Mathematics
‰BS Computer Science ‰MS Computer Sciences ‰Diploma in Statistics

Candidate As: ‰Fresh Admission ‰ Transferring

Category Information About Reserved Seats:
‰ Foreign Seat ‰ Open Merit Seat ‰ RIU/IIMCT Employee Seat
‰ Pakistan Railways Nominees (MBBS only) ‰ Al-Mizan Foundation Seat(MBBS & BSc-Engg.only)
Candidate’s Name

Father's Name Father's Occupation Attach

Three Recent
Photographs
Guardian's Name (If sponsor is other than parents) Guardian's Occupation 1'/2" x 2"

Date of Birth (DD/MM/YYYY) National ID Card No. Nationality

Gender Email Address Passport No.

‰ Male ‰ Female

Academic Background (includes Short Course and Admission/Aptitude Test Certificates)

Marks/%age/Grade
Certificate/Diploma/Degree Subject/Major Year of Completion /CGPA/Score Board/University/Institution
SSC or Equivalent
HSSC or Equivalent
Present Mailing Address
Street Address City Country Contact No.

Permanent Address
Street Address City Country Contact No.

Person to Notify in Case of Emergency

Name Occupation Relationship

Street Address City Country Phone

Sponsor’s Information:
Who will sponsor(bear) your educational expenses of this program:
‰Father ‰ Mother ‰ Guardian ‰ Self ‰Other; Please specify:___________
Monthly Income of sponsor: Rs.____________ US$._____________ ‰ Foreign Source ‰ Pakistan Source

Can sponsor easily meet the educational expenses of whole duration of this program? ‰ Yes ‰ No

Hifz-e-Quran Information: Are you Hafiz-e-Quran? ‰Yes ‰ No (Please provide certificate if yes)

Hostel Accommodation: Would you need our hostel accommodation: ‰Yes ‰ No

Particulars of blood relation(s) studying in any program of RIU

Name Relationship Program Semester/Term
1.
2.

Your Work Experience if any (most recent first)

Date
Position held Name and Address of the Institution
DD/MM/YY to DD/MM/YY

How did you hear about us:

‰ Newspaper Advertisement Newspaper's Name:____________ ‰Magazine
‰ Internet ‰ Word of mouth ‰Other; Please specify:_________
Checklist of attached documents (please attach attested A4 size copies of each document listed below)

‰ Certificate and Detailed Marks Sheet of Secondary School Examination/Equivalent.

‰ Certificate and Detailed Marks Sheet of Higher Secondary School Examination/Equivalent.
‰ Degree and Detailed Marks Sheet of Bachelor Level Examination/Equivalent.
‰ Provisional Certificate (for the applicant awaiting result and / or certificate / degree).
‰ Equivalency Certificate (Issued by BISE if education is from country other than Pakistan.
‰ Other certificate/diploma/degree (as aforementioned in the particulars).
‰ Proof of employment for candidates applying on reserved seats (i.e. RIU, IIMCT, Pak Railways)
‰ National Identity Card or Form 'B' of candidate.
‰ National Identity Card of Father/Guardian/Sponsor.
‰ Three Recent Photographs (should be of 1.'/2" x reach).
‰ Valid Passport & Visa (Foreign Students).

A Bank/Demand Draft bearing no._______________ dated: __________ of (Bank Name) _______________drawn in

favour of Riphah International University for Rs.760/- is enclosed.

Undertaking:
I have read the application form and prospectus, understand and fully aware of details of the program. I undertake to
pay program fee and all other dues to the university regularly without delay as per prevailing rules. I further
undertake to abide by the rules and regulations of the university and certify that the information provided in this
application form is true to the best of my knowledge and belief.

Date Candidate’s Signature Parent/Guardian’s Signature

For Office Use Only

Admitted /Not Admitted Remarks Dean's Signature

Registration No Remarks Registration Officer's Signature

RIPHAH INTERNATIONAL UNIVERSITY

Acknowledgement/Receipt

Received the application Form Number:______________with thanks From Mr./Miss. _________________________

Father’s Name:_________________________________ for admission in (program):________________ for session
Fall/Spring 20________.
Receiver’s Signature:____________________
Date: ____________________