FORM - IV

DEGREE OBTAINING FORM

ABBOTTABAD UNIVERSITY OF SCIENCE & TECHNOLOGY

Please tick the relevant: ORIGINAL DUPLICATE NORMAL URGENT MOST URGENT

Personal Information
Name:

Father’s Name: Attach one

Passport
CNIC: Size Photo

Date of Birth:

Present Address:

Permanant Address:

Mobile: Land Line:

Academic Information
Registration No.: Degree Title:

Name of the Examinaiton Passed: Roll No.:

Year/Session: Annual Supply Fall Spring

Examination passed as a: Regualr Student Private Student

Examination Held Date: Result Declaration Date:

Total Marks: Marks Obtained: Division/CGPA:

Department/College/Institution attended:
Dues Detail
Amount Deposited: Receipt/ Bank Draft No.:

Bank: Branch: Dated:

Applicant’s Signature
CERTIFICATE
I certify that the applicant is same person whose particulars as given above are correct. His/her photographs have been attested
by me

Chairman/ Principal/ Gazetted Officer: Signature Office Seal

FOR OFFICE USE ONLY

The particulars stated above have been checked and found correct. Degree in absentia may kindly be sanctioned.

Accountant Superintendent Assistant Controller Deputy Controller

Controller of Examinations Registrar Vice Chancellor

ACKNOWLEDGEMENT FOR APPLICANT

Name: Roll No.:

Father’s Name: Registration No.:

The Degree in absentia form is received by on .

You may collect your Degree on .

Dealing Assistant Degree Section