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UNIVERSITY OF BALOCHISTAN,QUETTA

HOSTEL RENEWAL APPLICATION FORM

1. Name: SHAHAB-UD-DIN 2. Father's Name: ATTHAULLAH SHAH

3. Student CNIC: 5410292001435 4. Date of Birth: 20/06/1997

5. Avail Hostel: Yes 6. Local / Domicile: NOSHKI

7. Processing Fee Challan No : -. Registration Number: 2013/UB-17/A(P)11071

8. Other Details: (i)Department: Computer Science (ii)Mobile No: 03462789199 (iii)Application Submission Date for Renewal: 2019-12-23 (vi)Adm: Date: 2015-03-01
(vii)Class: BS(IT) (viii)Program: BS(IT) (Xi)Session: 2015/2019 (Xi)Nationality: Pakistani
9. FatherCNIC: 5410215560089 10.Father Mobile No: 03342483119 11. Emergency Contact: kaleem ullah 12. Emergency Contact (Relation): brother

13.Emergency Address: 03458345531 14. Emergency Contact Tel: 03458345531 15. Emergency Contact Cell: 03458345531

16. Contact Person (Qta): shafiq 17. Address (Qta): UOB boys hostel quetta 18. Tel (Qta): 03327898186 19. Cell No (Qta): 03327898186

20. Reference (1): mohmmad asif 21. Reference Address: UOB boys hostel quetta 22. Ref. Tel: 03338365652 23. Ref. Cell No: 03338365652

24. Reference (2): abbas karim 25. Reference Address: UOB boys hostel 26. Ref. Tel: 03226101898 27. Ref. Cell No: 03226101898

28. Hostel Block (Previosly): 10 29. Hostel Room (Previously): 2 30. Hostel Bed No: 31. Prev. Allocation Dt: -

32. I declare that all information is correct and I Shall Abide All Rules & Regulations of University of Balochistan : Yes
Applicant Signature's : SHAHAB-UD-DIN

VERIFICATION BY U.G.S.O _______________________________________________

U.G.S.O REMARKS _____________________________________________________ U.G.S.O Offical Signature's & STAMP _______________________

INSTRUCTIONS:
1. Print this Application and sign it. Ensure the Photograph is visible on the form.
2. Attach a copy of your valid student card, payment receipt and Registration / Admission Card.
3. The application form should be verified from UGSO office.
4. After UGSO verification, the application form should be submitted to Hostel PRO-VOST office.
PRO-VOST REMARKS ____________________________________ PRO-VOST Signature's & STAMP _____

( For upto date information regarding your application, you should keep checking the status online. )

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