GOVERNMENT POLYTECHNIC INSTITUTE FOR WOMEN

FAIZ AHMED FAIZ ROAD, NEAR FAIZ AHMED FAIZ METRO STATION
H-8/1,ISLAMABAD
FORM NO.
Admission Form for Academic Year 20--­
Technology -----------

Class Roll No.-------------------

} (To be filled in later by the office)
Board/University No.
Note: I. This Form should be filled in by the candidate
2. This form is meant only for one technology.
3.Complete form along with the required documents should reach office on or
before the last date announced.

I. Name of Candidate (in capital letterst-----------------------­

(in Urdu) --------------------
2. Father's/Gaudian's Name (in capital letters) ------------------ ­
(in Urdu)- -----------------
3. Date ofBirth in words ·----- ----------- -- figures -- ---
4. Religion --------------------------------
5. Father/Guardian's (i) Occupation,------ Post-- ---- Deptt -------
(ii) Busines.,_________ Place_______
6. Father's/Guardian's annual income-----------------------
. 7. Parmanent Home Addrcss--------------------------
8. Present Home Address --------------------- Ph=------
9. �arried/Unmarried----------------------------
10. No of Sisters/Brothers
11. Rural/Urban ( certificate should be attached)
12. Academic Qualification (as per attached certificates)
How m1ny times Roll
EXAMINATION \'ear Reclstr1tion No. Number Obtained I Grade Institutions
Appeared No.

13. Students in all departments will be taught according to the syllabus approved by the Board of
Technical Education, Lahore.
Signature Picture
Student (In box) Passport Size
 I solemnly declare that:-

(2) The [nformation given on the 1st page are correct and true.
(3) I am taking admission in this Institute with the permission ofmy Father/Guardian
and will comply with all rules & regulations of this Institute.

Candidate's Signature

Certificate

I guarantee for the good conduct and character of my daughter/Ward

I shall occasionally remain in contact with the Principal/HOD concerned to know the academic
and soci al conduct of my daughter/ward.

Date: _ _ _ _ _ _ _ __

Father's/Guardian's Signature

Attested copies of the following certificate should be attached.

1. Marks Sheets (5 copies)

2. Certifcate of Income (2 copies)
3. Migration Certificate (2 copies)
4. Character Certificate (2 copies)
5. BacksideAttested Photographs (3) Passport Size
6. Health Certificate (1 copy)
7. Registration of Board (2 copies)
8. Matric Certificate/Any other certificate equivalent to matric (3 copies)
9. Domicile Certificate (lcopy)
10. Certificate of Urban/Rural Area (2 copy)
11 . Nadra Registration (B-Fonn) is compulsory for admission. (2copies)

Note for Office bearer:

Certificate those are attached should be ticked (./)
r

RESIDENCE CERTIFICATE FOR RURAL AREA

I solemnly declare that I am a resident of Pakistmt & I live in

Village____________ District--------- & my address is given below:-

Permanent Home Address ------------- -:-:----�---------­

Present Address-------------------------------

. Father's/Guardian's Signature

Attest ation by Gazetted Officer-------------------------­

Counsellor/Chairman----------'-----'------------------

··················································-··········· -��····�······�··,···················�··�··············�··········
RECEIPT
Form No.

Received admission from (Name of the Candidate) -----------

Receiving 'Official
 1. INCOME CERTIFICATE

1 - - - - - - - - - - - - RESIDENT O F - - - - - - - Protession - - - - - - -
(Father/Guardian)

Fathers/Guardian o f - - - - - - - - - - - , Solemnly declare that my and my spouse's total annual

income form all sources is Rs. & I pay Rs. - - - - - - - - - - - - -
Land revenue/income tax annually.

Father's/Guardian's Signature

Attestation by Gazetted O f f i c e r - - - - - - - - - - - - - - - - - - - - - - - - - - -

2. RESIDENCE CERTIFICATE FOR URBAN AREA

I Solemnly declare that I am a resident of Pakistan & my address is given below:

Permanent Home Address - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Postal A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -

Father's/Guardian's Signature

Attestation by Gazetted Officer - - - - - - - - - - - - - - - - - - - -- - - - - - -