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Form No: 1720630059

INTERNATIONAL ISLAMIC UNIVERSITY, ISLAMABAD


APPLICATION FORM FOR Graduate / Undergraduate Programmes

Name: Iqra Rfique


Father's Name: Muhammad Rfique
Date of Birth: 18 Jan 1996 Undergraduate
CNIC: 37405-7612020-0 Admissiosn Form
Gender: Female
Mobile: 0300-5183740
Nationality: Pakistani
Domicile AJK
District Muzaffarabad

Program: M.Sc Media & Communications Faculty: Faculty of Social Sciences

Address Details:
Address City Phone
near supreme bread factory st #01 begyal house near army complex misrial
Mailing Address Rawalpindi 0515189953
road rwp cantt
Permanent near supreme bread factory st #01 begyal house near army complex misrial
Rawalpindi 0515189953
Address road rwp cantt
near supreme bread factory st #01 begyal house near army complex misrial
Father Address Rawalpindi 0515189953
road rwp cantt

Education Details:
Degree Board / Univ Subjects Total Marks Obtained Marks
SSC SSC BISE Rawalpindi Arts 1050 599
HSSC FA BISE Rawalpindi Arts & Humanities 1100 664

Undergraduate BA University of Punjab finearts ,islamiat elective,persian


(annual system)

Family Details:
Father Status: Alive Guardian Name: Muhammad Rafique
Father / Guardian GOVT.
Monthly Income: 80,000
Occupation: JOB
Father / Guardian
No. of dependants: 6 0515189953 Father / Guardian Cell 03005183740
Phone: Phone:
Bank Account detail for credit of refundable security / fee, if any:
Title of Account: Account No:
Bank Name: Bank Branch:

Language Details:
No Language details!

Aptitude Tests:
No Aptitude Test details!

Have you been student of IIU before:


Have you been student of IIU before? No

Hobbies:
No Hobies entered!
Extra Curricular Acticities:
No Extra Curricular Activity details!
Undertaking (for result awaiting candidate):
I, Iqra Rfique S/o Muhammad Rfique hereby solemnly undertake / declare that I will submit the requisite certificate (result) within
one (01) month time after my admission in IIUI. In case of failure in any subject or if I fail to secure required percentage of marks
(50%) or CGPA within stipulated time my admission may be treated as cancelled, I will not claim refund of any portion of fee
whatsoever as per University policy.
Declaration:
I hereby solemnly undertake / declare that I have personally filled in this Application Form and the information contained herein is
complete and correct to the best of my knowledge and belief. I understand that withholding or giving false information will make me
ineligible for admission and future enrolment and that if withholding or giving false information is discovered after successful
admission, the University has the right to cancel my admission. I further understand that I may be required to appear for an
interview or to undergo such test as required by the University Admission Committee as a condition for admission to the
programme of study for which I have applied. I will abide by all the current rules & regulations, all other rules to be framed time to
time by University administration and will observe Islamic code of conduct during my whole period of study at IIUI.
I authorise IIUI to credit my refundable security or any other which amount becomes refundable to me at any stage in the Bank
account mentioned above.

Applicant's Signature

Following documents are required at the time of joining to complete the admission process.
Sr # Requirements Confirmation
1. Application form in duplicate (duly complete & signed by the candidate)
Four (04) Photographs passport size (Pakistani applicants) / 08 Eight Photographs passport size with blue
2.
back ground for Foreigner/Overseas applicants)
01 set of attested copies of degree(s)/certificate(s), other relevant testimonials i.e. CNIC/NADRA
3.
registration form for candidates below 18 years /Passport etc.
I have read the eligibility criteria from the Admission Guide and apply for admission. I undertake that I am
4.
fully eligible.
5. Any Other (specify)

Overseas applicants present in Pakistan


at the time of admission tests are not
exempted from Admission Test. Signature of the Applicant

Contact Details:
Female Candidates, Admission Office (Female), Room No.S-12, Admin Block, International Islamic University, H-10, Islamabad, Pakistan Ph:
+92-51-9257985
To be filled in by the applicant, before submission of form
Form No: 1720630059
INTERNATIONAL ISLAMIC UNIVERSITY, ISLAMABAD
APPLICATION FORM FOR Graduate / Undergraduate Programmes

Name: Iqra Rfique


Father's Name: Muhammad Rfique
Date of Birth: 18 Jan 1996 Undergraduate
CNIC: 37405-7612020-0 Admissiosn Form
Gender: Female
Mobile: 0300-5183740
Nationality: Pakistani
Domicile AJK
District Muzaffarabad

Program: M.Sc Media & Communications Faculty: Faculty of Social Sciences

Address Details:
Address City Phone

Mailing Address near supreme bread factory st #01 begyal house near army complex misrial Rawalpindi 0515189953
road rwp cantt
Permanent near supreme bread factory st #01 begyal house near army complex misrial Rawalpindi 0515189953
Address road rwp cantt

Father Address near supreme bread factory st #01 begyal house near army complex misrial Rawalpindi 0515189953
road rwp cantt

Education Details:
Degree Board / Univ Subjects Total Marks Obtained Marks
SSC SSC BISE Rawalpindi Arts 1050 599
HSSC FA BISE Rawalpindi Arts & Humanities 1100 664

Undergraduate BA University of Punjab finearts ,islamiat elective,persian


(annual system)

Family Details:
Father Status: Alive Guardian Name: Muhammad Rafique
Father / Guardian GOVT. Monthly Income: 80,000
Occupation: JOB
Father / Guardian Father / Guardian Cell
No. of dependants: 6 0515189953 03005183740
Phone: Phone:
Bank Account detail for credit of refundable security / fee, if any:
Title of Account: Account No:
Bank Name: Bank Branch:

Language Details:
No Language details!

Aptitude Tests:
No Aptitude Test details!

Have you been student of IIU before:


Have you been student of IIU before? No
Hobbies:
No Hobies entered!

Extra Curricular Acticities:


No Extra Curricular Activity details!
Undertaking (for result awaiting candidate):
I, Iqra Rfique S/o Muhammad Rfique hereby solemnly undertake / declare that I will submit the requisite certificate (result) within
one (01) month time after my admission in IIUI. In case of failure in any subject or if I fail to secure required percentage of marks
(50%) or CGPA within stipulated time my admission may be treated as cancelled, I will not claim refund of any portion of fee
whatsoever as per University policy.
Declaration:
I hereby solemnly undertake / declare that I have personally filled in this Application Form and the information contained herein is
complete and correct to the best of my knowledge and belief. I understand that withholding or giving false information will make me
ineligible for admission and future enrolment and that if withholding or giving false information is discovered after successful
admission, the University has the right to cancel my admission. I further understand that I may be required to appear for an
interview or to undergo such test as required by the University Admission Committee as a condition for admission to the
programme of study for which I have applied. I will abide by all the current rules & regulations, all other rules to be framed time to
time by University administration and will observe Islamic code of conduct during my whole period of study at IIUI.
I authorise IIUI to credit my refundable security or any other which amount becomes refundable to me at any stage in the Bank
account mentioned above.

Applicant's Signature

Following documents are required at the time of joining to complete the admission process.
Sr # Requirements Confirmation
1. Application form in duplicate (duly complete & signed by the candidate)
Four (04) Photographs passport size (Pakistani applicants) / 08 Eight Photographs passport size with blue
2.
back ground for Foreigner/Overseas applicants)

3. 01 set of attested copies of degree(s)/certificate(s), other relevant testimonials i.e. CNIC/NADRA


registration form for candidates below 18 years /Passport etc.
I have read the eligibility criteria from the Admission Guide and apply for admission. I undertake that I am
4.
fully eligible.
5. Any Other (specify)

Overseas applicants present in Pakistan


at the time of admission tests are not
exempted from Admission Test. Signature of the Applicant

Contact Details:
Female Candidates, Admission Office (Female), Room No.S-12, Admin Block, International Islamic University, H-10, Islamabad, Pakistan Ph:
+92-51-9257985
To be filled in by the applicant, before submission of form
International Islamic University, Islamabad International Islamic University, Islamabad

ADMISSION PROCESSING FEE ADMISSION PROCESSING FEE


BANK COPY ACCOUNT COPY
FA-17 Undergraduate / Graduate Program FA-17 Undergraduate / Graduate Program
Issue Date: 19-Jul-2017 Due Date: 21-Jul-2017 Issue Date: 19-Jul-2017 Due Date: 21-Jul-2017

A/C No: 0020000143260689 A/C No: 0020000143260689

Challan # 1720630059 Challan # 1720630059


Admission Form # 1720630059 Admission Form # 1720630059
Name: Iqra Rfique Name: Iqra Rfique
Program: M.Sc Media & Communications Program: M.Sc Media & Communications
Faculty Faculty of Social Sciences Faculty Faculty of Social Sciences

Cash (Rs): 1,500/- Cash (Rs): 1,500/-


Total Payment (Cash) Rs: Total Payment (Cash) Rs:
(One Thousand Five Hundred) Rupees Only. (One Thousand Five Hundred) Rupees Only.

Overwriting will Not be accepted. Overwriting will Not be accepted.


This Fee is Non-Refundable / Non Transferable in any case. This Fee is Non-Refundable / Non Transferable in any case.

Bank Stamp Bank Stamp

Allied Bank Ltd. Allied Bank Ltd.

International Islamic University, Islamabad International Islamic University, Islamabad

ADMISSION PROCESSING FEE ADMISSION PROCESSING FEE


ADMISSION OFFICE COPY STUDENT COPY
FA-17 Undergraduate / Graduate Program FA-17 Undergraduate / Graduate Program
Issue Date: 19-Jul-2017 Due Date: 21-Jul-2017 Issue Date: 19-Jul-2017 Due Date: 21-Jul-2017

A/C No: 0020000143260689 A/C No: 0020000143260689

Challan # 1720630059 Challan # 1720630059


Admission Form # 1720630059 Admission Form # 1720630059
Name: Iqra Rfique Name: Iqra Rfique
Program: M.Sc Media & Communications Program: M.Sc Media & Communications
Faculty Faculty of Social Sciences Faculty Faculty of Social Sciences

Cash (Rs): 1,500/- Cash (Rs): 1,500/-


Total Payment (Cash) Rs: Total Payment (Cash) Rs:
(One Thousand Five Hundred) Rupees Only. (One Thousand Five Hundred) Rupees Only.

Overwriting will Not be accepted. Overwriting will Not be accepted.


This Fee is Non-Refundable / Non Transferable in any case. This Fee is Non-Refundable / Non Transferable in any case.

Bank Stamp Bank Stamp

Allied Bank Ltd. Allied Bank Ltd.