Serial No.
Registration No.,
NATIONAL UNIVERSITY OF MODERN LANGUAGE:
ISLAMABAD
APPLICATION FORM FOR ADMISSION TO
M. PHIL / PH.D IN.
National identity Card No. =] L [ |-
1. FullName
2 Father's Name
3. FathertHusband's (Guardian's Profession ——-
(Give detail of Profession)
4. Date and Place of Birth
5 Domicile : a
cgderameta Si a eee
7. Address:
a. Present
b. Permanent : —
8. Phone: Ottice Residence
Fax Email
8. Educational Qualification
Level of Examination Institution/Boaral Grader
Year jain Subjects
passed University ae Divison
Matric or equivalent |
Intermediate or equivalent
BAVB.Sc or equivalent
M.AIM.Sc or equivalent
MPhil or equivalent
"Any othar examination
passed/Course attended‘ 40. AGADEMIC DISTINCTION (Give Details)
& Merit/Position i4 Scholarship ____
Medals Any other
11, TeachingiResearch Experience (Give Details).
42. The in-service teachers/persans should produce NOC/Study Leave sanctioned by their employers,
foradmission.
13 GENERAL
Were you everremaved or expelled from any Institution 7 Ifyes, give details.
Mention any other disciplinary action taken against you
;
i
j
DECLARATION BY THE CANDIDATE
thereby selernnly declare that
‘a. The information given in this Application Form is correct to the best of my knowledge and belief
and if any thing is found incorrect, the University will have the right to cancel my admission or
‘expel me fromthe University atany time,
thereby deciare that! accepts binding on me, as long asame student allrules and regulations
in force at the time of joining and whieh right be framed subsequent. | shall submit to the
discipline of the University as exercised through its teachers and administrative authorities and
shallnotchallenge the University decisions in the courtoflow.
&. Ipromiseto--
(abide by the Statutes, Regulations and Rules etc. framed by the University both in and
outside the campus.
maintain good behaviour. Werk diligently and meintain the dignity and prestige of the
University both in and outside the campus,0. undertake to be a regular student of the University and shall NOT take part in any political activity
NOR indulge in sectarian dispute, immoral condtuctand indiscipline during study at NUML,
8. Ipromiseto pay all the dues regularly
Jam not suffering rom any fatal disease.
9. | accept as a condition of my admission the authority of the University that a student can be
required to withdraw his name from the rells, if in the opinion of the Rector his stay is not
conducive to the weifare, either of himsaif or others in the University, Should | alto withdraw my
name immediately, after being called upon to do so, It may be struck off from the roils of the
University
fh. I hereby attach attested photostat copies of all educational certificates, two passport size
photographs, domicile, Nationat Identity Card and character certificate from the Institution last
attended.
Date: ——
Signatureofthe Candidate
DECLARATION BY FATHER/GUARDIAN
| am responsible for the good behaviour of my sonidaughter/ward and shall co-operate with the
University in ensuring his her good conduct lam enclosing an attested copy of my National Identity Cara
Date:
Signature of Father/HusbandiGuardian
FFI NY
MenerMes, |s eligible for admission
to. in
‘Deanof Facully/Head of Department
REPORT OF THE ACADEMICS BRANCH
Attasted Photostat copies of educational certiicates / degrees of the applicant are attached. The
‘applicant may be admitted as recommended by the Admission Committee,
Director Academics