COMSATS University Islamabad

Wah Campus
HOSTEL ADMISSION FORM
Yes
Under Graduate post Graduate
Scholarship Awardee Yes
Ehsas
If Yes then specify the Name of Scholarship

1. BOARDER’S DATA:

Name: Muhammad Owais Gender: Male

Registration #: FA17-CVE-067 Semester: 3rd
Date of Birth: 14-12-2002 Cell Phone No: 03082790452 Affix
CNIC / B-Form No : 42501-4862788-3 Photo
E-Mail: owaisidrees555@gmail.com graph
Permanent Address: Bhoro Jokhio Goth Kathore, Gadap Town, Malir, Karachi.
2. PARENT’S DATA:

Father / Guardian Name: Jiandi

Occupation: Home Business CNIC NO: 42501-7087446-4
Cell Phone No: 03082790452 Residence Phone No: _______________________
E-mail: owaisidrees555@gmail.com Office No.__________________________________
3. MEDICAL RECORD:
a. Are you having any medical problem? Yes/No
b. If yes, specify the disease you are suffering from: ______NO____________________________
c. Any medicine being used regularly: ________________NO____________________________
d. Blood Group: A+

4. Declaration:
I have noted the information and instructions given in the Hostel Rules and Regulations of CUI and undertake
to abide by the same and also the instructions issued from time to time by the Director /Hostel Warden, in the
interest / welfare and discipline of the hostel. I know that any breach of discipline of the Campus and hostel
rules may render me liable to such punishment and disciplinary action as the authorities may impose upon me. I
am joining the Hostel with express permission of my parents/guardians. I shall not damage any hostel property.

5. Mess Consent COMPULSORY

Signature of Parents/Guardian : Jiandi Signature of Student: Owais

Date: 18-08-2021

(For Office Use)

Hostel: ___________________ Flat No: _________________

Room No: _________________

Approved/Not Approved
Hostel Warden