Ghulam Ishaq Khan Institute of

Engineering Sciences and Technology

FRESHMEN ENROLEMENT FORM Passport size

(To be submitted in Room # G-05 Admin Block) recent color
Admit Card No photograph

Faculty

1. PERSONAL INFORMATION:
Full Name
As on your SSC/O-Level Certificate
Father’s Name

Student Mobile No.

Email Address

Date of Birth - - Blood Group

Date Month Year
CNIC Number - -

Domicile
Nationality
(Province|)

Gender (M/F) Religion

Postal Address

Permanent Address

2. PARENT/GUARDIAN (PERSON TO BE NOTIFIED IN CASE OF EMERGENCY):

Full Name

Relationship with the student

Occupation

Department

Address

Phone No. (Off)

Phone No. (Res)

Cell No.

3. DECLARATION BY STUDENT:
I hereby affirm that the information supplied by me in this form is true and correct to the best of my knowledge. I understand that if it is found to
be incorrect at any stage, this would constitute sufficient cause for rejection of admission or expulsion from the Institute. I will abide by all the
rules and regulations of the Institute currently enforced and as added or amended from time to time.

Date: _____________________ Signature of the student: _______________________