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8/13/2019 Admission Formhjg
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QUAID-I-AZAM UNIVERSITY ADMISSION DATA SUMMARY SHEET
Draft No Amount Rs PLEASE ENCIRCLE THE PROVINCE CODE
Domicile:
City Tehsil
District .. Province.........
NOTE: ALL THE COLUMNS GIVEN BELOW MUST BE FILLED IN
APPLICANTS NAME (IN BLOCK LETTERS)
FATHERS NAME (IN BLOCK LETTERS )
POSTALADDRESS
Email : ___________________________________ __________ Cell #
ACADEMIC RECORD F.Sc./F.A/I.Com/ A Level etc.with Equivalence Certificate
B.Sc./B.A/B.Com/BBA/BCS etc.
Hifz-i-Quran
NAME OF GRADUATION DEGREE PASSED:
Major Subjects studied in Graduation DegreeTotal
MarksMarks
ObtainedTotal
MarksMarks
Obtained(Yes/No) 1.
2.3.
NOTE: The candidate who applies for M.Sc . Geophysics/IT must encircle the subject of PHYSICS studied at Intermediatelevel in the box.
Encircle one of the following, if desired to apply on Reserved Seats(The Quota indicated below is fixed for Spring Semester Only)
1. CHILDREN OF ARMY PERSONALS 2. MINORITY COMMUNITY 3. DISABLED PERSON4. 5. 6.
DISCIPLINES/SUBJECTS CODE LISTCODE DI SCIPLI NE CODE DISCIPLIN E CODE DI SCIPLI NE
ANT Anthropology GEO Geophysics MPA Public Administration
ARC Archeology GS Gender Studies PKS Pakistan StudiesBCH Biochemistry HIS History POL Political ScienceBPS Botany/Plant Sciences IR International Relations PHY PhysicsCHM Chemistry BBS Bachelors of Business Studies PSY PsychologyCOM Computer Science LIN Linguistics SOC SociologyDSS Defence & Strategic Studies MAT Mathematics SW Social WorkECO Economics MBA Business Administration STS StatisticsELE Electronics MIC Microbiology ZOO Zoology/Animal SciencesES Environmental Sciences MIT Information Technology PGD Post Graduate Diploma
Note: Maximum limit of three priorities of the subjects are allowed on Regular as well as Self Finance. The applicants are advised to fill thepriorities carefully because once filled the priorities would not be allowed to change/shift after due date .
DISCIPLINE PRIOPRITIES
Use separate box for each Discipline. Write either Regular (R) or Self Finance (S) against each Priority of the Discipline you want to apply.Priority Subject Code Regular/Self Finance Priority Subject Code Regular/Self Finance
1st 4 th 2n 5 t 3rd 6 th
It is hereby certified that I have paid into Quaid-i-Azam University A/c the payment of additional priorities @ Rs.100/- each
by Bank Challan/Draft No... dated. a mounting to Rs (copy enclosed).
Hostel accommodation required? (Yes/No)____________ __ (dont leave the field blank, if left blank, it will be treated as NO.
Signatures of the Candidate
0Registration/Tracking No.
PHOTOAJK AZAD JAMMUN & KASHMIRBLCH BALOCHISTANFATA FED. ADMINS. TRIBAL AREAKPK KHYBER PAKHTUNKHWAPNJB PUNJAB
SND(R) SIND (RURAL)SND(U) SIND (URBAN)
BLOOD GROUPDATE OF BIRTH COMPUTRIZED NATIONAL IDENTITY CARD #
- -
SEX
M F
PHYSICS
For MSc
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Draft No... ..... (for official use) To be filled in triplicateAmount Rs (alongwith a set of required documents)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
APPLICATION FORM FOR ADMISSION
Program (Tick one) BS(4 Years)
Pharm.D/
LLB(5 Years)
Masters/
BBS
MPhil/
MS/MD
PhD Any other(write below )
Semester: Spring Fall Year: 20 .
Discipline: ________________________________________________
Important Note: Read the instructions carefully before filling the form.
Incomplete form will not be entertained
CNIC #
1. Name (BLOCK LETTERS).. ...
2. Fathers Name. . .....
3. Husbands Name (if applicable).. ..
4. Date of B irth. . ....
5. Domicile: City Tehsil District .. Province ....... ..
6. Single/M arried..... ..
7. Nationality. 8. Passport # (for foreign students only ) .... ....
9. Contact # .. 10. Mobile # ... ..
11. Blood Group 12. Contact No. for emergency .. ...
13. Email Address ..
14. Postal/ Temporary address . ...
...
15. Permanent address.........
...
16. Have you ever been a student of Quaid-i-Azam University?.............If yes give details ...
Programme: Year: Specify the reasons for leaving (seized/cancelled/others):. .
17. Are you presently enrolled in a college/university/institution? .If yes, give details of institution
alongwith discipline and programme .. .
18. Have you passed your last examination one year before the last date of submission of application?. If yes, what have you been doing during that period ? .. .
. ..
Initial Registration/Tracking No. Final Registration No.
-
PHOTO passport size
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1 9 . A c a
d e m
i c R e c o r
d ( P l e a s e
i n c l u d e a l
l e x a m
i n a t
i o n s
t a k e n ) :
B o a r d
/
U n i v e r s
i t y
M a j o r
S u b j e c
t s
% a
g e
G r a
d e
D i v /
C G P A
M
a r k s
o b t a i n e
d
M a x .
M a r
k s
R o l
l #
Y e a r
C e r
t i f i c a t e
/
D e g r e e s
S S C / M a t r i c /
O - L e v e l o r
e q u i v a
l e n t
H S S C / F A / F S c /
I C S / I . C o m
/
D B A / D
. C o m
/ A -
l e v e
l o r
e q u i v a
l e n t
B A / B S c / B
. C o m
/
B B A ( 3 y e a r s )
A D E / A s s o c
i a t e
D e g r e e s o r
e q u i v a
l e n t
B S / B
. E / B
. A r c
h /
B S C ( E n g
) / B S c
( A g r
i ) / M A / M S C
( 1 6 y e a r
) L L B /
B . C
o m ( H o n s )
/
M B B S / D V M /
P h a r m
D o r
e q u i v a
l e n t
M P h i l / M S / M B A /
M S c ( E n g . )
/ M . E
/
M A
r c h o r
e q u i v a
l e n t
A n y o t
h e r
d e g r e e
o r c e r t
i f i c a t e
Y e a r s
o f E d u
. 1 0 1 2 1 4 1 6 1 8
20. Were you ever removed or expelled from any school/college/institution? .. If yes, give details ..
21. Indicate if any other disciplinary action was taken against you .. .. 22. In how many semesters did you complete your BS/MA/MSc etc.?............................................23. In how many semesters did you complete your MPhil/MS etc.?................................................24. Academic Distinctions To Your Credit:
(a) Position on merit............. (b) Scholarship won ......... (c) Medals/ awards... ............ (d) Any other distinction.........
25. Publications: (attach separate sheet if needed ) .... ..
.. ..
26. Are you presently employed? If yes, indicate the organization giving address ....
.. ... ..
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27. Financial Position(a) Your personal monthly income, if any ...... (b) Fathers profession and designation.. occupational department/
Institute . (c) Fathers/guardians monthly income ................ (d) Will your studies be sponsored by your parents/guardian?......................... If no, then who will
support your studies?.......................................................................................................................... -------------------------------------------------------------------------------------------------------------------------------
DECLARATION BY THE CANDIDATE:
I hereby solemnly affirm and declare:
(a) THAT the information given in this Admission Form is correct to the best of my knowledge and belief andif anything is found incorrect, Quaid-i-Azam University (QAU), shall have the right to cancel myadmission and expel me from the University.
(b) THAT I promise to:(i) abide by the Statutes, Rules and Regulations etc. framed by the QAU and any other instructions
issued from time to time;
(ii) maintain good behavior during studies and while being on Campus;(iii) work diligently and maintain dignity and prestige of QAU both on and off the Campus.
(c) THAT I undertake to be a full-time regular student of the QAU and shall not join any other programme ofstudy or accept any employment for the duration of the programmes registered. (in-service candidates arerequired to produce NOC/Study Leave duly sanctioned by the employers/authority).
(d) THAT I further undertake that I shall not claim hostel accommodation as a matter of right if admitted to theQAU.
(e) THAT I promise to pay all the QAU dues regularly as and when required by the QAU.(f) THAT I hereby declare as a binding on me that as long as I am a student I shall abide by all the Statutes,
Rules and Regulations, in force at the time of joining the QAU and framed subsequently. I shall submitmyself to the discipline of the QAU authorities as exercised through its various Committees and Officers.
(g) THAT the information given in this Admission Form is correct to the best of my knowledge and belief andif anything is found incorrect, the QAU shall have the right to cancel my admission and expel me from the
QAU.(h) THAT I shall not claim/apply for any financial support/fee waivers/exemptions once I am admitted to the
QAU on Self-Finance basis.
Signature of the Candidate
-------------------------------------------------------------------------------------------------------- ------------------------------------
DECLARATION BY FATHER/GUARDIAN (applicable for undergraduate and graduate candidates):
I am responsible for the behaviour and conduct of my son/daughter/ward, during his/her stay at the QAU and shallfully cooperate with the QAU authorities in this regard as/when/how required by the QAU. I am enclosing a signed
copy of my CNIC as proof of my undertaking.
Signature of Father/Guardian
-------------------------------------------------------------------------------------------------------- ------------------------------------
(FOR OFFICIAL USE ONLY)(Discipline___________________________)
Recommendation of the Department/School/Institute/Centre:
Mr./Miss/Mrs_____________________________________________ is eligible for admission to
Certificate/Diploma/BS/BBS/Pharm.D/LLB/Masters/MPhil/ PhD programme in ____________________
Signature of the Chairperson/Director_____________________
Signature of the Dean_____________________
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NOTES/ INSTRUCTIONS FOR THE CANDIDATES:1) Originals of the above documents must be produced at the time of interview for admission.2) Finally selected candidates for admission shall be required to produce a migration certificate (in original) on joining the
QAU.3) Finally selected candidates for admission shall be required to submit an affidavit on a non-judicial stamp paper to the effect
that the certificates submitted by him/her are genuine and in case found fake/bogus/tampered the QAU shall have a right tocancel the admission and initiate legal action against him/her. The candidate shall also be required to produce an affidavit inaccordance with the decision of the Supreme Court.
4) Candidates having obtained certificates/degrees from foreign universities/institutions should provide equivalence certificatesand conversion of grades/CGPA into marks or percentage of bach elors degree from Higher Education Commission (HEC),Islamabad and for Secondary School (SSC) and Higher Secondary School (HSSC) certificates from Inter Board Committeeof Chairmen (IBCC). In the absence of equivalence certificates, foreign degrees/certificates shall not be accepted by theQAU. Certificates/Degrees obtained from local universities/ institutions with CGPA also require conversion of grades intomarks or percentage from the university/institution concerned.
5) Candidates, who are more than 26 years of age, are not eligible for admission into Masters programme unless relaxation(except in Management Sciences) is granted by the Vice-Chancellor for special reasons on the recommendations ofChairperson of Department/School/Institute/Centre concerned.
6) In case of incorrect/misleading information or concealment of facts, the QAU shall have a right to refuse/cancel theadmission and expel the student from the University.
7) All entries in the form must be made in BLOCK LETTERS and/or typed.8) In case, an entry does not apply to you, clearly write NOT APPLICABLE or N.A. In all other columns write the necessary
information or write appropriate replies, such as yes, no, nil, etc.9) Incomplete application forms shall not be entertained (at any stage).
-------------------------------------------------------------------------------------------------------------------- ------------------------CHECK LIST
Attested copies of the following documents should accompany the application form:
CheckList
Document No ofcopies
Programme
Detailed Marks Certificate of SSC (Matriculation)examination.
3 All programmes
Detailed Marks Certificate of HSC (Intermediate)Examination.
3 All programmes
Computerized National Identity Card (CNIC)/Form B in case of under 18 years of age
3 All programmes
CNIC of Father/Parent/Guardian 3 All programmes
Passport size recent photographs duly attested with namewritten on back side.
5 All programmes
Domicile Certificate of candidate or of father/ mother if theapplicant is under 18 years of age and his/her name isincluded in it.
3 All programmes
The in-service teachers/employees are required to produce NOC/Study Leave duly sanctioned by the employers, ifcandidates is currently in service.
3 All Programmes
Character Certificate from the institution last attended 3 All Programmes
Equivalence Certificates in case of qualifications ordegree/certificate from foreign universities/ institutes onlyor obtained from institutions.
3 All Programmes
Conversion Certificate in case of Grades/CGPA intomarks/%age 3 All Programmes
Sports Certificate (for applicants of Sports Reserve Seat). 3 BS/Pharm.D
Disability Certificate (for applicants of Disabled ReserveSeat).
3 BS/Pharm.D/Masters
Minority belonging Certificate (for applicants of MinorityReserve Seat).
3 BS/Pharm.D/Masters
Army Personal Service Card or Pension Book of Parent (forapplicants of Children of Army Personals.
3 BS/Pharm.D/Masters
NTS NAT- I/ NAT -II Result Card 3 BS /Pharm-D/MPA/BBS
Detailed Marks Certificate of Graduation Examination. 3 Certificate/Diploma/MSc/MPhil/PhD
NTS GAT General / GAT Subject / GRE Intl. Result Card 3 MBA/MPhil/PhD
Detailed Marks Certificate of Masters Examination. 3 MPhil/PhD
Hafiz-i-Quran Certificate (if applicable). 3 MSc
Copy of the Bank Challan of Priority Fee (if the studentapplies in more than one priority/ preference).
1 MSc
Detailed Marks Certificate of MPhil Examination. 3 PhD
Synopsis 1 PhD