The Islamia University of Bahawalpur

Directorate of Academics
Registration & Migration Section
Syed Tabish Alwari Building, Baghdad-Ul-Jadeed Campus, Email: dr.acadiub@gmail.com Ph: +92-62-9255075

APPLICATION FORM FOR BONAFIDE CERTIFICATE

Instructions:
Please attach ATTESTED photo copies of the following documents:
i) IUB COMPLETE Passed Result Card/Degree of the last Examination(s) Recent Photo
ii) Photo copy of CNIC (National Identity Card)
iii) Fee Rs. 1000/- (Non Refundable) challan generated through IUB website
(E-Portal) to be deposited in any HBL Branch of Pakistan.
iv) Character Certificate if (Last examination passed from (IUB-Affiliated College)
v) Incomplete application form will not be entertained in any case.

I. Particulars of the Applicant (In Capital Letter):

1. Name_______________________________________________________
2. Father's Name _______________________________________________
3. CNIC No.__________________________ 4. Cell No. ________________
4. Permanent address __________________________________________
II. Particular of the Degree on which Bonafide certificate requried:
1. Name of degree obtained _________________________________
2. Normal duration of course/study_______________________________
3. Name of IUB-affiliated College (if any) _________________________
4. Mode of study: Full-time Part-time Distance learning
5. Division/Grade/CGPA in which degree was obtained _____________
6. Medium of Instruction: English Urdu
7. Purpose of Bonafide certificate : Specify please _______________
III. Full details of Education:
Academic
Degree Name of Department Session attended Other details

BS/ADP/ADS/ADC
MA/MSc/MS/M.Phil/Ph.D
Others
It is certified that the above named applicant have leave the department after passing four semester and he/she
opted for an exit of BS program.

IV Declaration:
I hereby solemnly declare that the documents presented/attached are genuine, and have neither been altered nor
tampered with.I understand that in case of falsification of documents tendered or the wrong information supplied/
concealment of correct information, I shall be held responsible for the consequences including legal action. I have enclosed the
required documents and request for Bonafide Certificate.

Dated of submission: ____________ Signature of the applicant ________________