GOMAL UNIVERSITY, DERA ISMAIL KHAN

APPLICATION FOR ADMISSION

S.No.___________________

Name of Institute/Department ____________________________________________

Photograph
Passport Size
Program

PERSONAL DATA:
3.
1. NAME:

2. FATHER’S NAME:

3. FATHER’S 4. FATHER’S
OCCUPATION: MONTHLY INCOME:

5. FATHER’S NIC: – –

6. GENDER: M F 7. DATE OF BIRTH: (dd/mm/yyyy) / /

_ _
8. APPLICANT NIC: 9. Marital Status: Married Un-Married

8. TEL 9. M
EP O
HO B
NE: .
with area :
code
9.
12. RELIGION: __________________________ 13. DOMICILE: _____________________________

14. E-MAIL: (In block letters) ________________________________ 15. NATIONALITY:______________________

10.
16. University / Board Registration No. of Previous Class:

17. PERMANENT ADDRESS:

_____________________________________________________________________________________________

______________________________________________________________________________________________

18. MAILING ADDRESS: (If different than above)

______________________________________________________________________________________________

______________________________________________________________________________________________

19. ACADEMIC RECORD:

Roll CGPA/Marks Divisio Major
Examination Passed Year Examining Body
No. Obtained Total n Subjects

Matric/O level

FA/FSc/A level or
Equivalent
 BA/BSc or Equivalent

M.A/M.Sc/BS (4-year)
or Equivalent
20. ENTRY TEST RECORD (if already passed)
Test Type Roll No. Score Field of Study Test Date Valid Upto

NAT-I (For BS (Hons))

NAT-II (For Master

Program)

Are You employed? If Yes Designation

yes, give details. No Organization

INSTRUCTION FOR APPLICANTS

1. All entries in the form must be made in block letters by the candidate in his/her own handwriting.
2. Incomplete applications will not be entertained.
3. See the prospectus to choose program(s) and its eligibility.
4. Use another admission form for different program.
5. Each part/column of the application is to be filled, if any part/column is not applicable, write “N/A” against it.
6. Any candidate found to have made false or incorrect statement in this form his admission will be cancelled.
7. Copies of all relevant documents must be attached with the application form.
8. No benefit would be given for any document not attached with the application or produced after the closing
date.
9. Unattested Copies of the Documents are not acceptable.
10. Application Form shall be submitted by hand in the Admission Office at City Campus, or sent through
Registered Post/ Courier Service. Time barred application will not be entertained.
11. CHECK LIST: Please Check; have you attached the following documents with the Application Form?

 Sr.# DESCRIPTION Yes No

Attested copies of all the educational documents with DMCs listed at Sr.
No. 19 & 20
Note: Attach both Bachelor’s Part-1 & Part-2 DMCs for Master Admission
Copy of CNIC.
Domicile Certificate
Character Certificate
Three recent passport-size photographs.
Original Migration Certificate (if applicable).
NOC from the Parent Organization (for employees only).
Any Other documents Please Specify. (                                     )

UNDERTAKING
1. SOLEMNLY DECLARE THAT:
i. I have neither joined nor shall join any other Institute during the course of my studies at the university.
ii. I am not in service /am in service. (A letter of permission from the Parent Organization is enclosed).
iii. I am not suffering from any infection disease.
iv. The entries made in this form are correct.

SIGNATURE OF THE APPLICANT

Date: __________________________