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AL – Hijrah Residential School & College

1" x 1"
Ziarat – Pakistan Size
Photo
APPLICATION FORM FOR ADMISSION TEST
SECTION 1
CANDIDATE’S DETAILS
Name

Date of Birth
(Attach Form “B”)
Domicile
(Attach Local
Certificate)
Father’s Name

Father’s CNIC No. - -

Guardian’s Name

Guardian’s CNIC No. - -

Father’s Occupation

Guardia’s Occupation

Father’s Yearly Income

(Attach Proof)
Guardian’s Yearly
Income
(Attach Proof)
Father’s Contact No.
Guardian’s Contact No.
Permanent Address

Temporary Address

Postal Address

Passed Class 6 Marks Obtained Out of Total Marks

School’s Name &

Address

Candidate Father / Guardian

Signature

Attested by the Head Name Signature Date

Master

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SECTION 2
Under Taking By The Candidate

I, ……………………………..Son / Ward of ………………………………… am a

candidate for the admission test and scholarship for studies at Al-Hijrah
Residential School & College – Ziarat (Pakistan). I hereby solemnly
undertake that all above given information are true and correct.
I do solemnly undertake that in case of my admission / scholarship at Al-
Hijrah Residential School & College – Ziarat (Pakistan),
1. I will adhere and abide by the Policies, Rules, Regulations,
Procedures, Instructions (Written & Verbal), and Code of Conduct of
the institution.
2. I will not take part in any political, ethnic, racial, or sectarian
activities in any way or manner during my studies at Al-Hijrah
Residential School & College – Ziarat (Pakistan).

I also understand that during my studies at Al-Hijrah Residential School &

College – Ziarat (Pakistan), if I am found to have violated the Policies,
Rules, Regulations, Procedures, Instructions (Written & Verbal), and Code
of Conduct of the institution, my scholarship will be revoked and I will have
no legal right against the decision.

Signature ……………………… Date ……………………

SECTION 3
Under Taking By The Father/ Guardian

I……………………………………… Son of …………………………………….. and

father / guardian of …………………………………. Solemnly undertake that
this admission form has been completed with my full consent and in my
presence and all the information given herein are true and correct.

I do solemnly undertake that in case of the admission / scholarship of my

son / ward at Al-Hijrah Residential School & College – Ziarat (Pakistan),my
son / ward,
1. Will adhere and abide by the Policies, Rules, Regulations,
Procedures, Instructions (Written & Verbal), and Code of Conduct of
the institution.
2. Will not take part in any political, ethnic, racial, or sectarian
activities in any way or manner during my studies at Al-Hijrah
Residential School & College – Ziarat (Pakistan).

I also understand that during studies of my son / ward at Al-Hijrah

Residential School & College – Ziarat (Pakistan), if he is found to have
violated the Policies, Rules, Regulations, Procedures, Instructions (Written
& Verbal), and Code of Conduct of the institution, his scholarship will be
revoked and I will have no legal right against the decision.

Signature …………………….. Date ……………………..

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SECTION 4
Documents To Be Attached With The Application
1. Three attested photographs (1"x1" with Blue background) of the
candidate.
2. Birth Certificate.
3. Form “B”.
4. Domicile (Local Certificate) clearly showing the district of the
candidate.
5. Attested copy of Father’s / Guardian’s CNIC.
6. Income Certificate of Father / Guardian duly attested by the
concerned EDO (Revenue).
7. Attached Individual Medical Examination & Record Form duly
completed by a Registered Medical Practitioner.
8. Character Certificate by a notable of the area / tribe or Police
Verification of the Candidate.

SECTION 5
For the Office Use Only
Application Received on Complete In All Yes No
Aspects
Incomplete for want of; Date of Written Interview Total
1. Test /
Interview:
2. Result
%
3.

Admission Officer’s Remarks with Signature & Date:

Verification Officer’s Remarks with Signature & Date:

PRINCIPAL’S DECISION Admitted Not Admitted

PRINCIPAL’S Remarks (if any):

Signature ………….. Office Seal………….. Date ………….

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