APPLICATION FOR ADMISSION

PERSONAL DATA
Mr / Ms / Mrs:
Fathers Name:
Date of Birth:
National Identity Card Number:
Passport Number for Foreign Students:
Mailing Address:

Nationality:

Telephone:
Permanent Address:
Telephone:
Name:

In case of emergency contact:

Address:

Telephone:

COURSE DATA
Program Applied For:
Session:
Morning

Specialization:
Evening / Weekend

Distance Learning

EDUCATIONAL QUALIFICATIONS
Degree /
Diploma /
Certificate

Institution Attended

Board / University

Grade /
Division

Year of
Passing

PROFESSIONAL QUALIFICATIONS
Qualification

Institution Attended

Grade / Division

Year of
Passing

Course
Duration

WORK EXPERIENCE
Job Title

Organization

Address

Duration

Reason
for
Leaving

From
To
From
To
From
To

HONORS / MEDALS / POSITIONS / SCHOLARSHIPS

Achievements

Institution / Occasion

Year

EXTRA CURRICULAR ACTIVITIES

FINANCIAL ASSISTANCE
Sponsor for your Education
Parents
Guardian
Self
Others (specify)____________________
Monthly Income of Sponsor
Less than Rs 10,000
Rs 10,000 20,000
Above 20,000
Will you need financial assistance from Preston University as a needy student?
Yes
No

DECLARATION BY APPLICANT
DECLARATION
I have read the Prospectus carefully and am fully aware of the details of the degree programs
of Preston University, Pakistan. I undertake to pay fees and all other dues regularly to Preston
University, Pakistan without delay and I undertake to abide by the rules and regulations of
Preston University, Pakistan.

Signature of Applicant__________________________________

Date__________________

DECLARATION BY PARENT / GUARDIAN

DECLARATION

This is to certify that my son / daughter / ward named_________________________________

Is applying for Preston University degree program with my permission and with my full
knowledge of the Programs and I undertake to arrange payment of fees and all other dues to
Preston University regularly and without delay. I further undertake to ensure that my son /
daughter / ward does not get involved in politics and that he / she abides by the rules and
regulations of Preston University, Pakistan.

Name of Parent / Guardian

Address

NIC Number
Telephone

Signature of Parent / Guardian___________________________

Date__________________