Vous êtes sur la page 1sur 3

HAZARA UNIVERSITY

(Mansehra NWFP, Pakistan)


Attach Four
Passport Size
Photographs

Department of
No. ______________

ADMISSION FORM
1.

Program of Study
FOR OFFICE USE
Batch Number

2.

(i) Morning

(ii) Afternoon

(iii) On Surety Basis


2(a) Registration No.

3. Name
4. Fathers Name
5.

DATE OF BIRTH

6.
7.
8.

Candidates NIC
Fathers NIC
Tel No.

9.

ADDRESS

DAY

MONTH

YEAR

NATIONALITY

MOHALLAH, STREET etc.

POST OFFICE

VILLAGE/TOWN

MALE
DOMICILE
FATHERS
OCCUPATION
RELIGION
TEHSIL

FEMALE

DISTRICT

MAILING
PERMANENT
EMAIL

ACADEMIC QUALIFICATIONS

10.
CERTIFICATE/DEGREE

BOARD/UNIV.

YEAR

ANNUAL/SUPPL.

ROLL
NO.

MARKS
OBTAINED

TOTAL
MARKS

CGPA

10.1
10.2
10.3
10.4

Matric / SSC
Inter / HSSC
BA / BSc.
Any Other

11.

Fee Receipt of Rs. ____________________ Deposited Vide Bank Challan No. _________ is attached.

12.

RECOMMENDATIONS OF THE ADMISSION COMMITTEE:

13.

SIGNATURE OF MEMBERS OF ADMISSION COMMITTEE:

14.

(1) ________________

(2) ________________

(4) ________________

(5) ________________

(3) ________________
___________________
Chairman
Admission Committee

HAZARA UNIVERSITY
Receipt

Received Form No. _____________ Challan No. ______________ Amount __________ Dated ____________
From Mr. / Mrs. ____________________________________________ Program _________________________

__________
Provost

(1)

CERTIFICATE
15 (A)

I hereby certify, that in addition to the Hazara University undertaking, which I will submit separately, it is
admitted that all entries made in this Application Form are correct and that I shall abide by the Rules &
Regulations of Hazara University in vogue and which may be framed subsequently, I shall also comply with
the orders of the University Authorities during my studentship. I understand, that my admission in the
University is provisional and liable to cancellation, if any irregularity is found in my Admission Form /
eligibility or in any of the documents enclosed hereunder at 15 (E).

15 (B)

I affirm that:

i.

I have read and understand the Prospectus of Hazara University

ii.

The particulars given in my application form are correct to the best of my knowledge and faith.

iii.

I am applying for admission with the consent of my parents / guardian / organization.

iv.

I will devote myself wholeheartedly to my studies and maintain the dignity and prestige of the University
within and outside the University and will be liable to any penalty including rustication, expulsion in case
of any violation on my part.

v.

I will have no objection, if detained, either before or at the time of the University Examination due to
shortage of Attendance, Fee Default, Misconduct or any other Disciplinary Irregularity

vi.

Judicial appeals can only be filled in the Courts of Mansehra

15 (C)

Applicants Name _________________________________________ Signature __________________

15 (D)

Applicants Father / Guardians Name ________________________ Signature _________________

15 (E)

Attested Documents / Certificates required:


1.
3.
5.
7.

16.

17.

18.

Copy of Secondary School Certificate


Provisional Certificate
Undertaking (complete in all respect)
4-Passport Size Photographs (attested)

2.
4.
6.
8.

Copy of DMC (Intermediate / Degree)


Character Certificate
Migration Certificate
Domicile Certificate

CONDITIONS FOR ADMISSION:


a.

Applying for admission to Honors Programs the applicant must have passed the Intermediate
(FA/FSc. / HSSC or equivalent) examinations at least in 2nd division (minimum 45% marks) or
equivalent to 50% marks in semester system and holds its certificate

b.

For Admission to Master Programs, the applicant must have passed the Intermediate (FA / FSc. /
HSSC) and Graduation (BA / BSc.) examination in 2nd division, with minimum 50% marks in
semester system and holds their certificates

ADMISSION FORM WILL NOT BE ACCEPTABLE, IN CASE THE:


a.

Form is incomplete;

b.

Fee amount is less;

c.

Form is received after the due date;

d.

Attested copies of the Certificates are not attached;

I have read and understood all the information given in this form and responded by me to the best of my
knowledge and faith

Applicants Name ___________________________________________ Signature __________________________

(2)

HAZARA UNIVERSITY
MANSEHRA, NWFP
Ph: 0997-414145 Fax: 0997-530046
Challan No. ________

(Treasurer Copy)

Date: _________

Name: _________________________________ Fathers / Guardian: ____________________________________


Postal Address: _______________________________________________________________________________
_____________________________________________________________________________________________.
Study Program _______________________________________________________________________________
Amount (in figures): ________________ Amount (in words): __________________________________________
Fee deposited for: __________________________ Program: ________________________ Semester: _________
Bank Branch: _____________________________: Sign & Stamp of Bank Officer / Branch: __________________

HAZARA UNIVERSITY
MANSEHRA, NWFP
Ph: 0997-414145 Fax: 0997-530046
Challan No. ________

(Controlling Branch Copy)

Date: _________

Name: _________________________________ Fathers / Guardian: ____________________________________


Postal Address: _______________________________________________________________________________
_____________________________________________________________________________________________.
Study Program _______________________________________________________________________________
Amount (in figures): ________________ Amount (in words): __________________________________________
Fee deposited for: __________________________ Program: ________________________ Semester: _________
Bank Branch: _____________________________: Sign & Stamp of Bank Officer / Branch: __________________

HAZARA UNIVERSITY
MANSEHRA, NWFP
Ph: 0997-414145 Fax: 0997-530046
Challan No. ________

(Bank Copy)

Date: _________

Name: _________________________________ Fathers / Guardian: ____________________________________


Postal Address: _______________________________________________________________________________
_____________________________________________________________________________________________.
Study Program _______________________________________________________________________________
Amount (in figures): ________________ Amount (in words): __________________________________________
Fee deposited for: __________________________ Program: ________________________ Semester: _________
Bank Branch: _____________________________: Sign & Stamp of Bank Officer / Branch: __________________

HAZARA UNIVERSITY
MANSEHRA, NWFP
Ph: 0997-414145 Fax: 0997-530046
Challan No. ________

(Depositor Copy)

Date: _________

Name: _________________________________ Fathers / Guardian: ____________________________________


Postal Address: _______________________________________________________________________________
_____________________________________________________________________________________________.
Study Program _______________________________________________________________________________
Amount (in figures): ________________ Amount (in words): __________________________________________
Fee deposited for: __________________________ Program: ________________________ Semester: _________
Bank Branch: _____________________________: Sign & Stamp of Bank Officer / Branch: __________________

(3)

Vous aimerez peut-être aussi