KHUSHAL KHAN KHATTAK UNIVERSITY KARAK

ADMISSION FORM

Picture
To be filled in by the student: Size
1x1”
Fee amount Deposited Vide:
Challan Form No. Deposited at (Bank): Branch
Program Applied for:
Course Title: Semester: Year:
Personal Details
Name: (in capital letters/Mr./Miss./Ms.

(As stated in Matric/O Level Certificate/Passport)

Father’s Name: (in capital letters)
Citizenship: Native Language/Mother tongue:
Identity Card/Passport No: Date of Birth _____/______/______
Postal Address:
City: Country:
E-Mail Address: Phone:
Cell Phone:
Academic Record:
Certificate/ YEAR Marks Division SUBJECTS SCHOOL/COLLEGE/
Degree Name Obtained/Total UNIVERSITY
Marks
SSC

HSSC

BA/B.Sc/B.Com

MA/M.Sc

MS/M.Phil

My signature below includes:

1. That all information contained in my application is complete, factually correct and
honestly presented.
 2. I understand that withholding information or giving false information will make me
ineligible for admission and future enrollment.

Applicant’s Signature: Date:

For Office Use Only:

Receipt No. _________________________ Date of Reception: ______________

Received by: _________________________

Admission Committee

Remarks:

Signature:
Member Member Member