Pakistan Institute of Engineering & Applied Sciences (PIEAS)

Nilore, 45650, Islamabad

Application Form for Undergraduate Studies

Please read the instructions carefully before filling this form. USE ONLY BLOCK LETTERS 2. Application Number 1. Choices for Degree Program Please fill in the ovals with numbers 1 and 2 according to your preference [1 for first and 2 for second choice]. Roll Number

BS Electrical Engineering BS Mechanical Engineering

Please attach recent colour photograph here

To be allotted by PIEAS

3. Personal Information about the Applicant Full Name Fathers Name

Please provide the NADRA computerized NIC / Form B number

Date of Birth Gender Religion Correspondence Address Telephone (with City Code)

- 1 9 Marital Status Sect

CNIC

Nationality Domicile

Mobile

Email

4. Detail of Educational Qualification (Do not attach any document with this application form) Certificate/Degree Name of the Institute Name of the Board Year of Subject/ Div./Grade/ Marks % Position (in Board where studied Passing Group CGPA
if any)

a b c d e

Matric / O-Level FSc / A-Level (Part I) FSc / A-Level (Part II) Have you studied Mathematics, Physics and Chemistry in FSc / A-Level? Please tick () one Yes No Result status of final degree examination Please tick () Declared Not Declared Will be declared by Sep. 05, 2013
Do you want to apply Only on the basis of SAT II Subject Test Do you want to apply for both PIEAS Admission Test and on the Yes Yes No No If yes, result of SAT II Tests must reach Registrar, PIEAS by 30th Jun, 2013. SAT II Score

f Scores of Phy, Chem & Maths level II? Please tick () g basis of SAT II scores? Please tick ()

5. Please tick () one from the following Centres where you would prefer to appear for written test Abbottabad Bahawalpur Faisalabad Gujranwala Gujrat Islamabad Jamshoro Lahore Larkana Mianwali Multan Peshawar Quetta Rawalpindi

Karachi Sargodha

6. Detail of Application Processing Fee (Applications received without Application Processing Fee Receipt will not be entertained) Online Bank Receipt Number Dated Amount Branch of Allied Bank Limited with City (where fee is deposited)

7. Parents Employment Whether your father/mother is a PAEC Employee/Pensioner? Tick () one Name Designation

If Yes, provide following information.

Yes

No

Place of Posting

8. Declaration By The Candidate

I hereby affirm that the information given in this application is true and correct to the best of my knowledge & I understand that: 1. Any wrong information by me will be sufficient cause for cancellation of this application or immediate dismissal later on even if I have been selected for admission. 2. If selected for admission I will abide by all the rules and regulations now in force or may become effective after I have joined. Name & Signature of the Parent / Guardian: _______________________ Applicant's Signature: _______________ Date: _______________

Instructions for Filling the Application Form

1. 2. 3. All the entries in the form must be made in block letters or typed and no column should be left blank. There will be no bank service charges for online submission of processing fee through any branch of Allied Bank Limited (ABL). Application processing fee must be deposited in the online Account No. 0010002084620041 (Title of Account: PIEAS-APF), Allied Bank Limited (ABL), Cabinet Division Branch (Code No. 0793), Islamabad. Application Processing Fee Application processing fee within due date Rs 1000 for on-line submission Application processing fee within due date Rs 1500 for off-line submission Application processing fee within two weeks after due date Rs 1500 for on-line submission Application processing fee within two weeks after due date Rs 2000 for off-line submission *- Application processing fee is non-refundable. On-Line: Preferably apply online; application forms should be submitted on-line at PIEAS web site. Copy of online bank deposit slip will be generated after submission of application form. Save a copy of the bank receipt for your record as well. Off-Line The form can be downloaded from the PIEAS web site http://www.pieas.edu.pk. Copy of online bank deposit slip is also available at PIEAS website. Save a copy of the bank receipt for your record as well. 4. The following documents must reach Registrar Office not later than the advertised deadline at the following address and preferably, documents should be sent through Pakistan Post, TCS, OCS or Leopard services. Registrar Pakistan Institute of Engineering and Applied Sciences (PIEAS) Nilore, Islamabad Application Form (if applying off-line) Original bank receipt A passport size photograph Attested copy of Matric / O-Level* Transcript Attested copy of F.Sc. / A-Level or F.Sc. (Part I) Transcript *- For O-Level / A-Level students equivalence certificate of O-level from Inter Board Chairman Committee (IBCC) is mandatory. 5. 6. 7. 8. 9. Applications received without complete documents as mentioned above will not be entertained. Keep a photocopy of the bank receipt for your record. This form and information leaflet may also be downloaded from our website www.pieas.edu.pk Legible photocopy of this form can also be used. Please e-mail your admission related queries to registrar@pieas.edu.pk

Pakistan Institute of Engineering & Applied Sciences (PIEAS), Nilore, 45650, Islamabad Tel: (051) 2207380-4, (051) 2207816 Fax: (051) 2208070 Web: www.pieas.edu.pk Email: registrar@pieas.edu.pk