Hostel Admission Form No_________

THE WOMEN UNIVERSITY, MULTAN

HOSTEL ADMISSION FORM
(Out station students only)

Session _________________
Affix Picture Here
For Office Use Only
Hall Allotted _____________
Room Allotted ____________

Name of the Candidate ------------------------------------------------ CNIC No. ---------------------------------

Program applied for BS/MS/M.Phil/Ph.D.--------------------
Departments/subject applied in -----------------------------,--------------------------------,-----------------------
Admission form number (academic)-----------------------,-------------------------------,-----------------------
Address: ---------------------------------------------------------------------------------------------------------------
Permanent Home Address: -----------------------------------------------------------------------------------------
Date of Birth ----------------------- Nationality -------------------------- Domicile------------------------------
Disability (If any)-----------------------------Medical Issue/Problem/Disease (if any) ------------------------
(Hepatitis Report i) HBSAg. ii) Anti HCV)

Father’s Name ------------------------------------------------------- Occupation ------------------------------------

Monthly Income-------------------------------- Office Address -----------------------------------------------------
-------------------------------------------------------------------------------- Tel.No. ----------------------------------
Address: -----------------------------------------------------------------------------------------------------------------
Permanent Residential Address _________________________________________________________
(Any change must be notified immediately)

Guardian’s Name ----------------------------------------- Occupation ----------------------------------------------

Address ------------------------------------------------------------------------------------------------------------------
Permanent Home Address ------------------------------------------------------------ Tel. No.----------------------

Whom to contact in Emergency: Name: ------------------------------ Tel. No. ----------------------------

Relationship with the Applicant: -------------------------------------------------------------------------------

Parent/ Guardians Undertaking

I assure you that my Daughter _______________________ will abide by the rules and regulations of the
Hostel.

Date: ---------------------- Signature of the Parent/ Guardian Signature of Applicant

_______________________________________________________________________________________

Note: All entries are to be filled. All relevant documents are to be enclosed with the application form, incomplete
application form will not be entertained and is liable to be rejected.

NOTE: All the departments are requested to submit the hostel admission form to the Girls
Hostel, WUM, (Kutchery Campus).