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Govt Girls Degree College Rustam, Mardan(Mardan)

Study Level: Intermediate/Diploma

Program: Pre-Medical
Attach 3
Subject Group: Biology,Chemistry,Physics
Passport size
Application Quota: District Local

photo with
Local Criteria: Resident of district (Mardan)
white
Processing Fee Status: Verified
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Token: 220828098923
This token must be paid at any JAZZ CASH or through JAZZ CASH APP on or

before September 05, 2022

Username: 03153799964 Date Applied: August 28, 2022

Tracking ID: AUG2022143243
Personal Information
Name: Asma Gul Personal Mobile: 03153799964
Father Name: Khan Said Father Mobile: 03038715009
Applicant's CNIC 16101-9252123-7 Father's CNIC 16101-0254822-9
Date of Birth: November 18, 2001 ( 20 Year) Gender: female
Nationality: Pakistani Province: Khyber Pakhtunkhwa
Domicile District: Mardan Tehsil:
Union Council: Religion islam
Mailing Address Mohalla Pull Banda village Palo Dheri Tehsil Rustam District Mardan

Academic Information
Highest Exam: SSC Exam Session: Annual
Exam Board/Uni: BISE Mardan Passing Year: 2021
Study Group Science Roll No.: 812004
Net Marks: (686-5) = 681 / 1100 (61.91%) Grade B
Sport Certificate: Hafiz e Quran: No
School/College Mardan Board Record: Not Verified
Districts:
School / College: GGHSS palo dheri mardan
Remarks: 1 Session(s) Missed

Documents Checklist
1. This Online Application Form.                                          2. All Original Documents.

3. Four Pictures with White Background.                             4. Original Affidavit/Undertaking.

5. Attested Copy of DMC/Certificate,Character Certificate, Domicile, CNIC/Form-B and Father CNIC.

6.Certificate for any quota (Sports/Hafiz-e-Quran/College Employee/Disable/ Parent/Spouse Service.

7. Original Migration Certificate Required in case if Matric/Intermediate is passed from other Boards.

Note: Hafiz-e-Quran marks will be awarded after passing the Hifz Test.

College Instructions
I certify that the statements made by me in the answers to the foregoing questions are true, complete and correct to the best of my knowledge and belief. I fulfill all the prerequisite required for

the admission. Submission of fake/ forged documents and any misrepresentation or omission discovered even after admission may render my admission liable to termination in addition to

the action decided by the college committee.

Declaration
I declare that the information given in support of the application is accurate and complete. I understand that any misrepresentation will result in disqualification of my

application for admission.  

Applicant Sign: Parent/Guardian Sign: (for office use only)

_______________ _______________
Roll No.
______________

Date: _____ /_____ /_____ Date: _____ /_____ /_____

Chairman:
Member 1: _______________ Member 2: _______________ _______________

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AFFIDAVIT
Certified that I Asma Gul had not taken admission in the same level of studies in any other institution during the
previous year(s). It is further certified that till date I am not registered with any Education Board for the same
class or level of studies. In this respect, if my statement is found incorrect at any stage, my right of admission or
even admission shall stand cancelled without any further notice.
UNDERTAKING
(Undertaking shall be copied on Judicial Stamp Paper)

In compliance with the order of the Supreme Court of Pakistan, I, Mr./Mrs. Asma Gul Son/Ward of Khan Said
,candidate for admission to Intermediate/Diploma ( Pre-Medical ) at Govt Girls Degree College Rustam,
Mardan, do hereby undertake that, after my admission and during the course of my studies in/at the college, I
shall not indulge in politics. In case I violate this undertaking, I shall be expelled from the college without any
further notice from the Principal of the college. Furthermore, the finding with regard to my “indulgence in
politics” given by the Principal under his seal and signature shall be final and shall not be questioned except
only before the Supreme Court of Pakistan.
DEPONENT
Signature of Student
Student Name Asma Gul
Father’s/Guardian’s Name Khan Said
National Identity Card/Registration No. 16101-9252123-7
Permanent Address Mohalla Pull Banda village Palo Dheri Tehsil Rustam District Mardan
Dated

(To be filled by the Father/Guardian of the student)

I, Mr./Mrs Khan Said Son/Wife of _______________ Father/Guardian of Asma Gul hereby fully endorse the
undertaking by my son/ward and assure that he shall abide by this undertaking during his stay at the college.
In case my son/ward indulges in politics, finding with regard to which given by the Principal under his seal and
signature shall be final and shall not be questioned except only before the Supreme Court of Pakistan, he shall
be expelled form the college without any further notice.
DEPONENT
Signature of Father/Guardian of the student
Student Name Asma Gul
Father’s/Guardian’s Name Khan Said 
National Identity Card/Registration No.  
Permanent Address  
Dated
Witness No. 1 Witness No. 2
Witness No. 1 Signature Witness No. 2 Signature
Name Name
Father Name Father Name
National Identity No. National Identity No.
Permanent Address Permanent Address.

Attested (Signature & Seal of the Competent Authority)

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