COMSATS Institute of Information Technology Virtual Campus, Islamabad

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Please affix one passport size photograph here & Bring One for NTS Test Slip

Admission Form (Undergraduate)

Form Number: Study Center: Session : Spring 2013 [ SP13 ]

Section One: Candidate Information Name [In Block Letters]:__________________________________________________________ Fathers Name [In Block Letters]:___________________________________________________ Date of Birth: __ / __ / ____ [ dd/ mm/ yyyy] CNIC / Form B No : [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ] Gender: Female CNIC Type: Male Self Nationality : ______________ Parent / Guardian Domicile : ________________

Select Program : First Choice: ______________ Second Choice:_______________ Third Choice: ______________ Section Two (A) : Contact Information
Current Mailing Address: ________________________________________________________________ _____________________________________________________________________________________ City : _______________________________ _________________________ Telephone :

Permanent Mailing Address: _____________________________________________________________

Admission Form: Spring 2013

COMSATS Institute of Information Technology Virtual Campus, Islamabad

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_____________________________________________________________________________________ City: _______________________________ __________________________ Telephone:

Section Two (B): Educational Details

Certificate/Degree Major Subjects Year Board/University Total Marks Obtained Marks

Section Two (C): NTS Score (if already given)

Test Center Test Date Roll No. Total Marks Obtained Marks

Section Two (D): NTS Registration (If Registered for NTS in Some other Center)
NTS Center Name NTS Roll No

Admission Form: Spring 2013

COMSATS Institute of Information Technology Virtual Campus, Islamabad

Section Four: UNDERTAKING

I, Mr. / Ms. _________________________ __Son / Daughter of ___________________________ hereby solemnly declare that the information provided on this form is true and correct to the best of my knowledge. I have read and understood all the instructions provided in the current prospectus & agree to abide by them. I further undertake that I have sufficient financial resources required for the program of study at COMSATS Institute of Information Technology. I also solemnly affirm, declare and undertake that: a) I shall abide by the rules and regulations enforced at CIIT at present and those which may be enforced at any time in the future. b) I shall conform strictly to the code of conduct for the students of CIIT. c) I shall at all times should respectful behavior towards management, faculty and my fellow students.

d) I shall not, through my act, speech or gesture, incite any feelings, which are derogatory to any sect, ethnic group, caste, religion, creed, sex, or place of origin. e) I shall not indulge in any political activity, including unionism or political groupings. f) I shall protect and preserve the property of CIIT at all times and shall make all out efforts to prevent others from causing any damage or destruction to the Institutes property.

g) I shall fully abide by the decisions of teachers, various discipline committees constituted for the purpose of ensuring and enforcing discipline and good order in the institute and of other authorities. h) I undertake to pay fees and other charges regularly by the due date, failing which I would be liable to pay late fees. i) If I am found involved in any unlawful activity in contravention of the above terms and conditions at any stage during my stay at CIIT, the institute shall have the right to cancel my admission without notice. Signature of Applicant ___________________________________

Admission Form: Spring 2013

COMSATS Institute of Information Technology Virtual Campus, Islamabad

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Guardian Signature ___________________________________

Date __ / __ / __ [dd / mm / yyyy ]

Check list
1. Printed copy of Admission form 2. Paid Challan Form or Demand Draft/Pay Order of RKR 1,000/- in favor of "CIIT Virtual Campus, Islamabad" 3. Four recently taken (3 cm x 2 cm) color photographs 4. Two attested Copies of CNIC or Form-B issued by NADRA (National Database Registration Authority) 5. Two attested copies of all academic certificates/ degrees/ equivalent certificates. 6. Hope Certificate/Affidavit (To be notarized on Rs. 20/- Stamp Paper) mandatory for result awaiting applicants only. 7. Undertaking (To be notarized on Rs. 20/- Stamp Paper) mandatory for all applicants. 8. Any other relevant document(s).

---------------------------------------------------------------------------------------------------------------------------------------For Office Use Only

Admission of Mr. / Ms. ___________________________________ in Program____________________ having Form Number _______________ is Provisionally Approved Not Approved

___________________________________________ In Charge Admissions / Convenor Admissions Committee Date: __ / __ / ____ [dd/mm/yyyy]

Admission Form: Spring 2013