SECRETARIAT HIGHER EDUCATION

NOMINATION BOARD
A Engineering (General)
APPLICATION FORM
FOR NOMINATION AGAINST RESERVED QUOTA SEATS IN VARIOUS INSTITUTIONS IN THE COUNTRY FOR
AJ&K FOR THE ACADEMIC SESSION 2020.

CNIC:
Version No: 16 For o ce use only: Application No:           Date:          
8220339277921

Name of
MIR JAWAD UL HAQ Father Name: IFTIKHAR AHMED
Candidate:
Mobile: 03435641194
Date of birth: 08-Jan-2000
Ha z Quran: 
District: MUZAFFARABAD
C/O Alian High School And College Pattika P/O and Tehsil Pattika District
Postal Address:
Muza arabad Azad Kashmir
Academic Record:
Sr. No Quali cation Board/University Passing Year Marks Obtained Total Marks %age
1 Matric [Science] AJK BISE Mirpur 2017 1012 1100 92.00
2 Intermediate [Pre-Engg.] AJK BISE Mirpur 2020 444 520 85.38
3 Entry Test ECAT UET LAHORE 2020 172 400 43.00
Preferences :
Pref Pref Pref Pref
Degree University Degree University Degree University Degree University
No. No. No. No.
Civil Mechanical Civil
1 Civil Engg UET-TA 2 UET-LR 3 UET-TA 4 NED
Engg Engg Engg
Electrical Civil QUEST- Electrical
5 UET-TA 6 7 UET-LR
Engg Engg NA Engg

Whether the marks in F.Sc. improved:  Whether applying for nomination for: 2nd

F.Sc Entry Test Year

If applying for the 2nd and 3rd time state 1st
the previous merit position: nd 2

DOCUMENTS TO BE ATTACHED(ATTESTED)
1 CNIC / NADRA Form-B 2 Copies
2 Metric Certi cate / Marks Sheet 2 Copies
3 F.Sc. Marks Sheet 2 Copies
4 B.Sc./B.S/M.A/M.Sc. 2 Copies
5 State Subject Certi cate 2 Copies
6 Domicile Certi cate 2 Copies
7 Medical Fitness Certi cate 2 Copies
8 Character Certi cate 2 Copies
9 Photographs (Recent Passport Size) 2 Copies
Instructions:
1. All academic and other certi cates must be attested. Provisional PRC, State Subject, Domicile certi cate
shall not be accepted in any case.
2. Correction / Alteration in choices by the applicant, after submission of his rst application form, will not be
allowed.
3. Application Fee (Non-refundable), (General Seats Rs, 1,000-)
Certi cate:
Certi ed that the particulars / documents submitted be me mentioned in the admission form are
correct to the best of my knowledge and belief. If anything found to be incorrect, I am likely to be
debarred from admission / nomination.

Postal Address:
Nomination Board,
Block # 10, Room # 1004, Signature of the Applicant
New Secretariat, Chatter Domail, Dated
Muza arabad, Azad Kashmir. Phone Number 03418844698
Tel: 05822-924235 Mobile Number 03435641194
Fax: 05822-924235 Print Date & Time 16-08-2020 02:03:20 PM
Web: http://www.nb.gok.pk
Email: sec.he.ajk@gmail.com