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Plot # 333, Korangi Township near Pakistan Refinery Ltd.

Karachi,
Pakistan Tel: 111-11-8324

APPLICATION FORM

Please note that completing this form does not guarantee an admission.

APP #.............................
(To be filled by office staff)

(IN BLOCK LETTERS)


______________________________________________

Full Name:

As per Intermediate Certificate

Father / Guardian name: ______________________________________________


(IN BLOCK LETTERS)
As per Intermediate Certificate

Date of Birth:

D D - M M - Y Y Y Y

(As per CNIC) Above 18 years

CNIC/B-Form No:

Fathers / Guardian CNIC:

Current Address:

Two (2)
Photographs

_______________________________________________________

____________________________________ Domicile District: _________________


Phone Numbers:
Fathers/Guardians Mobile

Residence
Students Mobile 0
QUALIFICATION:

0 3

3
Intermediate (Sc-Pre-eng)

DAE (Electrical/Electronics/Mechanical)

COURSE OFFERED
Mechatronics

Shift Offered
Morning Shift
8:00 am 1:35 pm (MonFri)

How did you come to know about the AMANTECH?


AMANTECH Instructor / Employee
_________________________

______________________

AMANTECH Student

______________________

Instructor / Employee Number

_________________________
Student ID

Instructor / Employee Name


Student Name

I authorize AMANTECH to bear my course expenses from ZAKAT donations (Fee Concession form must be submitted)*
I certify that the information provided on this form is true & correct to the best of my knowledge. I understand that in case of any false
statement, I may not be allowed to continue my training at AMANTECH.
Documents Checklist

Photocopy of Student CNIC

Photocopy of Father CNIC

Photocopy of Intermediate / DAE Mark Sheet / Certificate

Two Passport size photographs

_________________________

Date

* Acceptance of fee concession depends on donation availability

________________________________

Candidates Signature

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