Government College No.1 D.I.

Khan(Dera Ismail Khan)

Study Level: BS 04 Years
Program: BS Mathematics
Attach 3
Subject Group:
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Application Quota: District Local
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Local Criteria: Resident of district (Dera Ismail Khan)
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Processing Fee Status: Pending
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Token: 210925776433
This token must be paid at any JAZZ CASH or through JAZZ CASH APP on or
before October 02, 2021

Username: 03214999634 Date Applied: September 25, 2021

Tracking ID: SEP2021127399
Personal Information
Name: Muhammad Salman Personal Mobile: 03214999634
Father Name: Abdul Haleem Father Mobile: 03454648359
Applicant's CNIC 12101-1714055-3 Father's CNIC 12101-0926461-9
Date of Birth: May 01, 2003 Gender: male
Nationality: Pakistani Province: Khyber Pakhtunkhwa
Domicile District: Dera Ismail Khan Tehsil: D.I khan
Union Council: Giloti Religion islam
Mailing Address Village mehrabi post office muazzam district and tehsil Dera Ismail khan

Academic Information
Highest Exam: Intermediate Exam Session: Annual
Exam Board/Uni: BISE DI Khan Passing Year: 2021
Study Group Pre-Engineering Roll No.: 36317
Net Marks: 920 / 1100 (83.64%) Grade A+
Sport Certificate: Hafiz e Quran: No
School/College Dera Ismail Khan Board Record: Not Verified
Districts:
School / College: Government degree college No1 Dera Ismail khan
Remarks:

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.

NOTE: Note: For Hafiz u Quran Test Contact wih admission Comitte. 
Declaration
I hereby declare that all the information given in support of this application is accurate and complete to the best of my knowledge. 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: _______________ _______________
 AFFIDAVIT
Certified that I Muhammad Salman 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. Muhammad Salman Son/Ward of
Abdul Haleem ,candidate for admission to BS 04 Years ( BS Mathematics ) at Government College No.1
D.I.Khan, 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 Muhammad Salman
Father’s/Guardian’s Name Abdul Haleem
National Identity Card/Registration No. 12101-1714055-3
Permanent Address Village mehrabi post office muazzam district and tehsil Dera Ismail khan
Dated

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

I, Mr./Mrs Abdul Haleem Son/Wife of _______________ Father/Guardian of Muhammad Salman 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 Muhammad Salman
Father’s/Guardian’s Name Abdul Haleem 
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)