3/9/2020 Student Enrolment Print

ALLAMA IQBAL OPEN UNIVERSITY

Form No

ADMISSION FORM Web Lot No 5

FOR OFFICE USE ONLY
NAME OF PROGRAM: Bachelor (B.A(GEN GP) )
Batch NO

SEMESTER: Spring 2020 RT DOMICILE DISTT

0 0 3 9
1. Registration No. (If you are Registered with AIOU) 17PMH00834

PERSONAL INFORMATION

3. Name: Mr. MUHAMMAD WASEEM

4. Father Name: S/O HAFEEZ ULLAH

5 Postal Address: DOCTOR TARIQ BHUTTA P/O BAIT MEER HAZAR KHAN

Postal District: MUZAFFARGARH ( 039 ) Postal Tehsil: JATOI ( 03 )

6. Date of Birth: 1-1-1997 7. Mobile No: 03047312803
8. CNIC No/ B Form No : 32302 - 4371320 - 1 9. Do you want your Books in: Hard Copy
10. Occupation: STUDENT 11. Qualification: HSC
12. Religion: ISLAM 13. Domicile: MUZAFFARGARH (039 )
For Account Use

S.no Code Course Title

1 0485 HEALTH & NUTRITION

2 1423 COMPULSORY ENGLISH-I

3 0416 ISLAMIAT (C)

4 0417 PAKISTAN STUDIES (C)

14. FOR OFFICIAL USE ONLY

0 3 9 03 04 05
DISTT TEH EDU LV CLUS ST BANK CODE FT FEE

Coding Eligibility

BANK CHALLAN No.

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3/9/2020 Student Enrolment Print

Directorate of Admission,
Admission Form Section,
Allama Iqbal Open University,
Block No. 4, H-8, Islamabad.

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3/9/2020 Student Enrolment Print

15. Academic Information

Level Year Grade/ Division Major Subjects Board/ University

Matric 2015 D PHY,CHEM,COMP DERA GHAZI KHAN

Intermediate 2019 B HUMAN RIGHTS,HEALTH AND NUTRATION, ALLAMA IQBAL OPEN UNIVERSITY

Graduation

Masters

MS/Mphil

Others

16. Professional Experience (If any)

S.No Organization Job Title Main Assigment From To

17. Instructions / Regulation Regarding ADMISSION

1. Admission will not be granted if the admission form is incomplete in any respect (e.g. less fee, unattested photocopies of certificates, partial
information).

2. Admission will not be granted if the form or fee is deposited other than procedure mentioned in the prospectus.

3. Photocopy of the addmission form is not acceptable.

4. Candidates are advised to write their address clear and legible handwriting. University reserves the right not to grant admission in case of postal
address given with P.O.Box number or in the case of someone other than candidate's name.

5. Paste one picture on the addmission form.Do not staple

6. During filling form, please write course code very carefully because the admission is made according to course code mentioned by student. If the
student leave the course codes his/her admission will be finalized as per title of courses. In case of any fault / discrepency the student will have to deposit
change of course fee before the due date of first assigment. In case of failing to do so student himself will be responsible for it.

18. AFFIDAVIT

I MUHAMMAD WASEEM S/O HAFEEZ ULLAH solemnly agree that:

1. Information given in admission form for Spring / Autumn semesters are true to my knowledge. I have studied / read all the rules and conditions
throughly before filling in admission form.

2. I will abide by the university rules constituted from time to time.

3. In case of litigation , I will file my appeal in the courts of Rawalpindi and Islamabad only.
4. My admission is provisional and the university reserves the right to cancel my admission and confiscate my dues if information given by me is
worng.
5. In case of admission in two programes at a time, the university is authorize to cancel admission of the fresh programe and confiscate fee as per
rules.

6. I have filled in the admission form with the consent of my parents / guardian.

7. I give my consent to AIOU to use my Mobile No. for necessary communication between AIOU and myself.
8. I also declear that in case of provision of any wrong statment / information at the time of getting admission/ deviation from AIOU prescribed rules /
policy in the advertisement / Prospectus and submission of fake degree or third division on my part (student), the university has the right to cancel my
admission and stop my degree.
Permanent Address: DOCTOR TARIQ BHUTTA P/O BAIT MEER HAZAR KHAN , Tehsil JATOI ( 03 ) , Distric MUZAFFARGARH (039 )
Mobile No: 03047312803 E-mail:
Dated: 9-Mar-2020

Signature of Applicant

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3/9/2020 Student Enrolment Print

ALLAMA IQBAL OPEN UNIVERSITY

Copy No.1 ( For Admission Department)

ABL - CMD- Fee 0010000336340801 FWBL Fee 0036010745610001 MCB - TM 0096 A/C 0586704541007031 UBL - MCA NO.262489296

Challan No: Date: _____________

Name: MUHAMMAD WASEEM Father Name: HAFEEZ ULLAH

Postal Address: DOCTOR TARIQ BHUTTA P/O BAIT MEER HAZAR KHAN , Tehsil JATOI, District MUZAFFARGARH

Amount: =2835/- Amount in words: two thousand eight hundred thirty-five only

Program: Bachelor (B.A(GEN GP) ) Semester: Spring 2020

Bank Branch Code: Bank Officer Signature

ALLAMA IQBAL OPEN UNIVERSITY

Copy No .2 ( For Student )

ABL - CMD- Fee 0010000336340801 FWBL Fee 0036010745610001 MCB - TM 0096 A/C 0586704541007031 UBL - MCA NO.262489296

Challan No: Date: _____________

Name: MUHAMMAD WASEEM Father Name: HAFEEZ ULLAH

Postal Address: DOCTOR TARIQ BHUTTA P/O BAIT MEER HAZAR KHAN , Tehsil JATOI, District MUZAFFARGARH

Amount: =2835/- Amount in words: two thousand eight hundred thirty-five only

Program: Bachelor (B.A(GEN GP) ) Semester: Spring 2020

Bank Branch Code: Bank Officer Signature

ALLAMA IQBAL OPEN UNIVERSITY

Copy No 3. ( For Bank Branch )

ABL - CMD- Fee 0010000336340801 FWBL Fee 0036010745610001 MCB - TM 0096 A/C 0586704541007031 UBL - MCA NO.262489296

Challan No: Date: _____________

Name: MUHAMMAD WASEEM Father Name: HAFEEZ ULLAH

Postal Address: DOCTOR TARIQ BHUTTA P/O BAIT MEER HAZAR KHAN , Tehsil JATOI, District MUZAFFARGARH

Amount: =2835/- Amount in words: two thousand eight hundred thirty-five only

Program: Bachelor (B.A(GEN GP) ) Semester: Spring 2020

Bank Branch Code: Bank Officer Signature

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