Undergraduate Admission Application 2012

Ghulam Ishaq Khan Institute of Engineering Sciences & Technology

Print, sign and send it along with other requried documents (see checklist below) to Admission Office GIK Institute.

ADMIT CARD NO
Name Father Name CNIC /From B No. Eligibility Test/SAT Date of Birth Domicile Postal Address

126616
SYED ALI MUQADDAS NAQVI MUSHARAF HUSSAIN SHAH 37301-8801037-7 HSSC (Pre-Engg.) TEST 23-Mar-1992 PUNJAB HOUSE NO CB-353,STREET NO 2, NAYI ABADI MISRIAL RD RAWALPINDI RAWALPINDI Affix photo here

Mobile No.

03365996449

Test Centre.

Islamabad

EDUCATION: SSC O-Level A-Level FACULTY CHOICES: EEP 1 Undertaking: EEE 2 ME 3 CE 4 CSC 5 HSSC 845/1050 398/550

CheckList: 1. Printout of this Application 2. Admit Card 3. Duly Signed Bank Receipt 4. Photocopies of Academic Documents 5. Two additional photographs

CME 6

ES 7

MTE 8

MTM 9

MTN 10

I certify that information supplied by me in this form is correct to the best of my knowledge. I understand that if it is found to be incorrect at any stage, this would constitutes sufficient cause for rejection of admission or expulsion from the institute. If granted admission, I agree to abide by all the rules and regulations of the Institute currently enforced and as added or amended from time to time.

Signature of Applicant. __________________________________ Counter Sign by Father/Guardian. _________________________