Ghazi Admission form

Form No. __________ Affix/Paste PhotographGhazi University, Dera Ghazi Khan (Do not staple) Application for Admission (Fall 2014)Please Tick (√)Applying For Undergraduate Pos tg raduate M.Phil Ph.DProgram Morning Evening Weekend OthersApplying on Merit Res erved Sports Dis abledCategory Rural Urban Others ____________________Department / College: _________________________________ Program: ___________________________Name: ______________________________________________________________________ Male FemaleFather’s Name: ____________________________ Profession: _________________ Monthly Income: ____________Candidate’s CNIC No. / Form-B No. - -Nationality: _____________________ Religion: ________________ District of Domicile: ______________________Blood Group: _________Date of Birth: _______________Age on closing date : Years Months DaysBoard / University Reg. No. ____________________________________ Hafiz-e-Quran Yes NoAddress: ______________________________________________________________________________________________________________________________Tel No. (Residence) _______________________Cell No. (Father/Guardian) __________________________ Cell No. (Applicant) _________________________E-Mail Address: _________________________________________________________________________Person to be informed in Emergency: Name __________________________________Relation __________Address: ___________________________________________________________________________________________________________________________________ Cell No. ___________________________Place of stay during study (Please Tick) Own House Hostel Other PlaceACADEMIC RECORDExamination Year Board/University Roll Marks Div. / Grade Major No. Obtained / Total % age /CGPA Subject/sMatric / O Levelor EquivalentFA / FSc orEquivalentBA/BSc/BBA/BS/BSc (Hons).MA/MScM.Phil/MSOthers

Co-Curricular Activities: (Please Mention) _______________________________________________________Sports Activities: (Please mention) _____________________________________________________________IMPORTANT INSTRUCTIONS:1. Please tick the box according to the program applied for.2. Incomplete applications shall not be entertained.3. Any incorrect statement made in this Form may lead to disciplinary action or cancellation of admission at any time.4. Attach attested photocopies of: (a) Academic Certificates (b) Merit Certificate(s) (c) Character Certificate fromHead of Institution last attended (d) Detailed marks certificate of last examination passed (e) Hifz-e-Quran Certificate(f) Computerized CNIC (g) Domicile Certificate (where applicable).i) Once you are offered admission then you must present original documents of: (a) Academic Certificates: (b)Merit Certificate(s): (c) Character Certificate from Head of the Institution last attended: (d) Detailed MarksCertificate of last examination passed. (e) Hifz-e-Quran Certificate: (f) National I.D. Card (g) DomicileCertificate (where applicable)ii) Two attested photocopies of all above mentioned documentsiii) Four Passport size Photographs5. The candidate is advised to select the subject of his/her choice for admission very carefully. If a candidate isoffered admission and has paid the fee/dues in any University Teaching Department/Constituent College, then thefee/dues once paid will neither be refunded nor transferred in case of Inter-Departmental/College transferred.UNDERTAKING1. I declare that I am not a member of any political party and that I shall not indulge in politics as long as I remain astudent of the University. I further undertake that I will not challenge the finding/decision of Head of the Institutionregarding my Rustication/ Expulsion from the University or cancellation of my admission at any stage whatsoever inany Court, Tribunal, Authority or Forum other than the Supreme Court of Pakistan.2. I further undertake that I shall not claim hostel accommodation as a matter of right.3. I hereby certify that I have myself filled in this Form and the statements made herein are correct.4. I hereby declare on oath that I have not been on the rolls of any teaching department of the University or Constituentcollege or an affiliated college of postgraduate studies (Master’s level or Law) for more than six months.5. I hereby declare that I have not obtained B.A./BS/BBA/BCS/BFA in case of admission of Bachelor Degreeprogram, MA/M.Sc./M.Com/MBA. in case of admission of Master degree or equivalent degree from any University.Note: Items 4 & 5 are not applicable to MS/M.Phil and Ph.D. candidates. _______________________________ __________________________________ Signature of Candidate: Signature of Father/Guardian Dated: ______________________ Dated: ______________________ --Father/Guardian’s CNIC No. FOR OFFICE USE ONLYApplication No. _________________ Roll No. _________________Admission on: Merit Seat Reserved Seat Sports Seat OthersSignature Secretary Admission Committee _________________ Chairperson _________________Date _________________ Date: ______________________