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Registration No. / QUAID-I-AZAM UNIVERSITY


Tracking ID. No.
ADMISSION DATA SUMMARY SHEET
Photo
(M.Phil/MS Programme Fall-2017)
Discipline / Subject

NOTE: ALL THE COLUMNS GIVEN BELOW ARE TO BE FILLED IN, (INCOMPLETE FORM WILL NOT BE ENTERTAINED).

PLEASE ENCIRCLE THE PROVINCE CODE


Nationality: AJK AZAD JAMMU & KASHMIR
BLCH BALOCHISTAN
District: FATA FED. ADMINS. TRIBAL AREA
KPK KHYBER PAKHTUNKHWA
Tehsil: PNJB PUNJAB
SNDH (R) SINDH (RURAL)
City /Town: SNDH (U) SINDH (URBAN)

APPLICANT’S NAME (IN BLOCK LETTERS)

FATHER’S NAME (IN BLOCK LETTERS)

Blood COMPUTRIZED NATIONAL IDENTITY CARD NUMBER. Please


Date of Birth Sex mention Passport No. in case of Foreign National
Group
M F - -

COMPLETE POSTAL ADDRESS WITH TEHSIL & DISTRICT (IN BLOCK LETTERS)

Email: __________________________________________ Cell # -


Academic Record:
Year of Total Marks Grade / Div / Board /
Degree /Certificate % Major Subjects
Passing Marks Obtained CGPA University
Matriculation OR Equivalent Degree
Certificate for Minimum 10 Years of
Education
Intermediate OR Equivalent Degree/
Certificate for Minimum 12 Years of
Education
Bachelor OR Equivalent Degree for
Minimum 14 Years of Education
Minimum 16 Years of Education
- Bachelors (4 years) Degree
- Masters (2 years) Degree
- Other 4-5 years Degree

• Academic Distinctions (if any): ………………………………………………………


• Publications:……………………………………………………………………………
• Are you currently employed? If yes, indicate the organization name & address:…………………………………………
• Have you ever been a student of Quaid-i-Azam University?______. If yes give details; Programme______, Year______.
Specify the reasons for leaving (Seized/Cancelled/Others____________________).
• Are you presently enrolled in a college/institution?______. If yes, then mention Programme/Discipline__________

___________________
Signature of Candidate
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DECLARATION/UNDERTAKING BY THE CANDIDATE

I solemnly affirm and declare: -

(a) That the information given in this Admission form is correct to the best of my knowledge, belief and if anything is
found incorrect/misleading or concealment of facts, Quaid-i-Azam University (QAU), shall have the right to
refuse/cancel my admission and expel me from the University.
(b) That I promise to: -
(i) Abide by the Statutes, Rules and Regulations etc. framed by the QAU and any other instructions issued
from time to time.
(ii) Maintain good behaviour during studies and while being on Campus.
(iii) Work diligently and maintain dignity and prestige of QAU both ON and OFF the Campus.

(c) That I under take to be a full-time regular student of the QAU and shall not join any other programme of study or
accept any employment for the duration of the programmes registered. (In-service candidates are required to
produce NOC/ Study Leave duly sanctioned by the Employers/Authority).
(d) That I further undertake that I shall not claim hostel accommodation as a matter of right if admitted to the QAU.
(e) That I further undertake that I shall not claim hostel accommodation as and when required by QAU.
(f) That I hereby declare as a binding on me that as long as I am a student I shall abide by all the Statues, Rules and
Regulations, inforce at the time of joining the QAU and framed subsequently. I shall submit myself to the discipline
of the QAU authorities as exercised through its various Committees and Officers.
(g) That I shall not claim/apply for any financial support/fee waivers/exemption once I am admitted to the QAU on Self-
Finance basis.
(h) That the requisite documents i.e. Marks Sheets/Certificates etc. as submitted by me are genuine and in case found
fake/bogus/tampered, the QAU shall have a right to refuse/cancel my admission and expel me from the University
OR initiate Legal Action against me.
(i) That I will produce/submit originals of requisite documents i.e. Marks Sheets/Certificates etc. at the time of
interview for admission.

___________________
Signature of Candidate

DECLARATION/UNDERTAKING BY FATHER/GUARDIAN (Applicable for M.Phil/MS Programme)


I am responsible for the behaviour and conduct of my son/daughter/ward, during his/her stay at the QAU and shall fully
cooperate with the QAU Authorities in this regard as/when/how required by the QAU. I am enclosing a signed copy of my
CNIC as proof of my undertaking.
_____________________________
Signature of the Parent/Guardian

REQUISITE ATTESTED DOCUMENTS TO BE ATTACHED WITH ADMISSION FORM

No. of
S# Requisite Attested Documents
Copies
1. Detailed Marks Certificate of SSC (Matriculation) OR its equivalent Examination. 01
2. Detailed Marks Certificate of HSSC (Intermediate) OR its equivalent Examination. 01
3. Detailed Marks Certificate of Graduation etc. OR its equivalent Examination. 01
4. Detailed Marks Certificate of Minimum 16 Years of Education, Bachelors (4 years), Masters (2 years) Other 4-5 years Degree 01
5. Domicile Certificate of the candidate 01
6. Computerized National Identity Card of the applicant 01
7. Computerized National Identity Card of the applicant’s Father/Parents/Guardian 01
8. Character Certificate from the institution last attended. 01
Equivalence Certificate and Conversion of the Grades into Marks from Inter Board Committee of
9. Chairman (IBCC) for Matric and Intermediate Levels and from the HEC for Graduation Levels in case of 01
qualifications OR Certificates from Foreign Institutes.
(i). Foreign Citizenship OR Passport for Foreign National and Dual Nationals (having Pakistani and some
10. 01
other nationality) Refugees (status recognized by Govt. of Pakistan) (for Foreigner Reserve Seats)
11. Original HBL/Askari Bank Deposit Slip of Rs. 2500/- (For Admission Form of QAU) 01
12. Any other supporting/relevant document 01

___________________
Signature of Candidate
QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad


Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.


Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy)  2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,500/- Prospectus Charges RS: 2,500/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

STUDENT’s COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad


Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.


Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy)  2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,500/- Prospectus Charges RS: 2,500/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer


QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad


Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.


Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs. 2515/- per Transaction to be Paid by the Depositor Note: Rs. 2515/- per Transaction to be Paid by the Depositor

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,515/- Prospectus Charges RS: 2,515/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

STUDENT’s COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad


Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.


Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs. 2515/- per Transaction to be Paid by the Depositor Note: Rs. 2515/- per Transaction to be Paid by the Depositor

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,515/- Prospectus Charges RS: 2,515/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Office

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