Bano Qabil

IT Scholarship Program 2K23

Admission Form

Selected Course: Graphics Designing Student ID: CSW/13/GD/M/1601

Student Name: MOIZ KHALID
Name on CNIC: MAIZ KHALID
Attach
Student CNIC: 4220124321561
Passport Size
Father Name: KHALID MEHMOOD
Photograph
Father CNIC:
here
Parent/Guardian BANKER
Occupation:
Mobile Number: 03139217491
E-mail address: maizkhalid91@ymail.com WhatsApp No: 03343638241

Next to Kin to be JUNAID KHALID

contacted:
Contact in case of 03363513438 Religion: Muslim
emergency: Days: Monday & Wednesday
Gender: Male Timing: 6:00PM-8:00PM
Date of Birth: 17/04/1991 Campus: Circle Social Welfare
Last Qualification: Graduate Foundation

Discipline: Campus Adjacent to Jamia Masjid Al-Aqsa

Institution: KARACHI UNIVERSITY Address: Block 13 Gulshan e Iqbal

Current Job: Bank

Complete BANK QUARTER NO : 11, KARACHI
Address: UNIVERSITY CAMPUS - KARACHI
Payment method: Bank Deposit/Online Transfer

I hereby admit that all the information provided above is correct to the best of my knowledge. I also Declare that
I have never been convicted for any criminal activities nor I was / am Part of any banned or illegal organization. I
am aware that any incorrect information could result in my termination from the program.

Applicant Payment Date:

Signature: Reference#:
Instructions:
1. 2x passport size recent photographs
2. 1x photocopy of last academic qualification
3. 1x Security Deposit Slip (Not required in case of cash payment at Alkhidmat Head office)
4. 1x copy of CNIC or 1x copy of Father’s CNIC copy (Which one is applicable)
5. Kindly submit this form along with payment proof of security deposit at AL-Khidmat Head office
Karachi on following schedule
• Male: 8th Feb 9:00 AM - 5:00 PM
• Female: 9th Feb 9:00 AM – 5:00 PM

Classes will be starting from 13th February 2023 subject to submission of form & security deposit.