GOVERNMENT TECHNICAL & VOCATIONAL

CENTER (BOYS) PALO DHERI MARDAN

Main Rustum Road Chargulli
Ph. 0937-801555

1. Name the Trade/Course for Admission:

Passport
DIT Computer Operator Electrician Tailoring Size
Picture
Plumbing Electronics (Mobile Rep) RAC/HVACR Safety Course 1.6 x 1.5
Chinese Language General Engineering (Welding)
Morning: Evening:

2. NAME OF APPLICANT (In Block Letters):

3. FATHER’S NAME (In Block Letters):

4. DATE OF BIRTH: 5. GENDER:

6. APPLICANT’S CNIC No: _______________________________________ Father CNIC #: ________________________________

7. DOMICILE: ____________________________________ 8. NATIONALITY: ______________________________________________

9. FATHER’S OCCUPATION: _________________________________ 10. RELIGION: ____________________________________

11. ADDRESS: ____________________________________________________________________________________________________

______________________________________________________________________________________________________________________

12. MOBILE/PHONE NO: ___________________________________ 13. GUARDIAN PHONE NO: ________________________

14. GUARDIAN NAME: ___________________________________ 15. GUARDIAN’S RELATION: _________________________

ACADEMIC QUALIFICATIONS
Certificate/ Board/ Year of Annual/ Marks Total %age/
Roll No
Degree University Passing Supply obtained Marks Grade
Middle
Metric (SSC)
Inter (HSSC)
UNDERTAKING
I hereby certify that the information provided in this application form is correct. I undertake to abide by the rules and regulations of the
College and the orders issued by the competent authorities from time to time. I also submit that my admission in the College is provisional and
is subject to cancellation if any irregularity is found in my admission Form /Documents /Conduct etc at any stage.

______________________ ____________________________________
Date of Admission Applicant’s Signature/Guardian

For Office Use Only Admission No.___________________

Admission Granted in ____________________________Trade in the Session _______________________for the period of

____________________________, Course Fee Paid Rs. _____________________ Receipt#: ___________________ Remaining
Balance Rs: _____________________________.

Assistant/Comp Opt Sign Accountant Sign Administrator Sign

Please Attach following Documents with this application form:
(1) One set of Educational documents, Two passport size photos, Copy of CNIC Card or Form B ) (if do not have CNIC).