Form Printed on 8/12/2014 at 6:44:09AM

Balochistan University of Information Technology,Engineering

and Management Sciences, Quetta
Takatu Campus Airport Road, Baleli. Quetta (Main Campus)
(Admission office) Ph #: 2880110-217, 2880511-216, 2880512-211)

Faculty of Engineering

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Admissions, Fall 2014

21881 -

Application Number:

Program of Study
BS Civil Engineering

Personal Information
Name:

ARSHAD YOUSAF

Permanent Address:

MOHALLAH: GHAIBI KHEL, VILLAGE: DALLO KHEL, TEHSIL AND DISTRICT: LAKKI
MARWAT, LAKKI MARWAT, Pakistan

Postal Address:

MOHALLAH: GHAIBI KHEL, VILLAGE: DALLO KHEL, TEHSIL AND DISTRICT: LAKKI
MARWAT, LAKKI MARWAT, Pakistan

CNIC/B-FORM:
Nationality:
Email:
Any Disability:
Province:

11201-5948697-9
Pakistani
asadyousaf_marwat@yahoo.com
No
Khyber Pakhtunkhwa

Date of Birth:

March 05, 1997

Religion:

Muslim

Gender:

Male

Mobile/Phone:

03119507615
Lakki Marwat

District(Local/Domicile):

Father Name:

YOUSAF KHAN

CNIC:

11201-0399825-3

Address:

MOHALLAH: GHAIBI KHEL, VILLAGE: DALLO KHEL,

TEHSIL AND DISTRICT: LAKKI MARWAT

Mobile/Phone:

03119507615

Email:

asadyousaf_marwat@yahoo.com

11201-0399825-3

Guardian Name:

YOUSAF KHAN

CNIC:

Address:

MOHALLAH: GHAIBI KHEL, VILLAGE: DALLO KHEL,

TEHSIL AND DISTRICT: LAKKI MARWAT

Emergency Contact:

Email:

asadyousaf_marwat@yahoo.com

Page 1 of 3

03119507615

Form Printed on 8/12/2014 at 6:44:09AM

Academic Record
Qualification

Session

Board/University

Total Marks

Marks Obtained

Matric

2012

BISE Bannu

1050

776

FSC (Pre-Engg)

2014

BISE Kohat

1100

775

Specific Areas Of Interest/Specialization(Applicants for admission to MS/PhD)

Undertaking:
I solemnly declare that the information provided by me is correct to the best of my
knowledge.I understand and agree that any misrepresentation or omission of information
found at any stage would be a sufficient ground for rejection of admission or expulsion
from the University.
I agree to abide by all the rules and regulations enforced by BUITEMS from time to time.

Signature of the applicant: _____________________ Date: ____________________

Signature of father/guardian of the applicant: ___________ Date: ______________

Checklist Items:
Secondary School Certificate
Higher Secondary School Certificate

01 photocopy
01 photocopy

Applicant CNIC / B-Form

01 photocopy

Local/Domicile

01 photocopy

Bank Draft/Money Order Rs. ___________

01 original

Recent Photographs(passport size )

06 copies

Father's CNIC

01 photocopy

Character Certificate

01 photocopy

Others: ______________________________

Page 2 of 3

Form Printed on 8/12/2014 at 6:44:09AM

Balochistan University of Information

Technology, Engineering and
Management Sciences, Quetta
(BUITEMS)

Balochistan University of Information

Technology, Engineering and
Management Sciences, Quetta
(BUITEMS)

BUITEMS Copy

Bank Copy

Account Number: 164900262695

Invoice Date:

Invoice Date:

Balochistan University of Information

Technology, Engineering and
Management Sciences, Quetta
(BUITEMS)

Department Copy

Account Number: 164900262695

August 12, 2014

Account Number: 164900262695

August 12, 2014

Invoice Date:

Account Number: 164900262695

August 12, 2014

August 12, 2014

21881

Application Number:

21881

Application Number:

21881

Application Number:

21881

ARSHAD YOUSAF

Name:

ARSHAD YOUSAF

Name:

ARSHAD YOUSAF

Name:

ARSHAD YOUSAF

Father Name:

YOUSAF KHAN

Father Name:

YOUSAF KHAN

Father Name:

YOUSAF KHAN

Father Name:

YOUSAF KHAN

Study Program:

BS Civil Engineering

Study Program:

BS Civil Engineering

Study Program:

BS Civil Engineering

Study Program:

BS Civil Engineering

Admit Term:

Fall 2014

Admit Term:

Fall 2014

Admit Term:

Fall 2014

Admit Term:

Fall 2014

Amount Description

Application Processing Fee

Amount

Rs. 2,000

Amount in words: Two Thousand only

S. No.

Amount Description

Application Processing Fee

Amount

Rs. 2,000

Amount in words: Two Thousand only

S. No.

Amount Description

Application Processing Fee

Invoice Date:

Name:

Applicant Copy

Application Number:

S. No.

Balochistan University of Information

Technology, Engineering and
Management Sciences, Quetta
(BUITEMS)

Amount

Rs. 2,000

Amount in words: Two Thousand only

S. No.

Amount Description

Application Processing Fee

Amount

Rs. 2,000

Amount in words: Two Thousand only

Note:
* Kindly deposit the fee in HBL at Takatu/City campus
branch.
* Amount specified in the fee vouchar is acceptable only
at the bank.
* Altered fee vouchar is not acceptable for payment of
the fee.

Note:
* Kindly deposit the fee in HBL at Takatu/City campus
branch.
* Amount specified in the fee vouchar is acceptable only
at the bank.
* Altered fee vouchar is not acceptable for payment of
the fee.

Note:
* Kindly deposit the fee in HBL at Takatu/City campus
branch.
* Amount specified in the fee vouchar is acceptable only
at the bank.
* Altered fee vouchar is not acceptable for payment of
the fee.

Note:
* Kindly deposit the fee in HBL at Takatu/City campus
branch.
* Amount specified in the fee vouchar is acceptable only
at the bank.
* Altered fee vouchar is not acceptable for payment of
the fee.

Applicants
other
then
Quetta
City,
must attach a pay order/demand draft
of amounting Rs. 2000/- in favor of
Director Finance BUITEMS.

Applicants
other
then
Quetta
City,
must attach a pay order/demand draft
of amounting Rs. 2000/- in favor of
Director Finance BUITEMS.

Applicants
other
then
Quetta
City,
must attach a pay order/demand draft
of amounting Rs. 2000/- in favor of
Director Finance BUITEMS.

Applicants
other
then
Quetta
City,
must attach a pay order/demand draft
of amounting Rs. 2000/- in favor of
Director Finance BUITEMS.

Applicant

Page 3 of 3

Cashier

Applicant

Cashier

Applicant

Cashier

Applicant

Cashier