COMSATS Institute of Information Technology Virtual Campus Islamabad

GRAD AT! ADMISSIO" #ORM

#orm number$ Study center "ame$ Session$ Spring %&'( ) S*'( +

Department $ Admission Re,uired In$ ----------------------------------------------Area of Research Interest$ '. /In order of preference0 1. "ame$ #ather2s "ame$ %. Affi6 recent photograph here

Date of 3irth$ "ationality$

C"IC "o$ *assport "o$ Gender$ *ostal Address$ Male #emale

!4mail$ *ermanent Address$

*hone$

Admission #orm$ Spring %&'(

COMSATS Institute of Information Technology Virtual Campus Islamabad

Education:
Certificate7degree Ma8or Sub8ect Matric7SSC7O4 <e:el Inter7=SSC7A4 <e:el 3achelor Master Other/Specify0 9ear 3oard7 ni:ersity Mar;s Obtained Ma6 Mar;s Di:ision7Grad e CG*A

NTS GAT (General) Score$ /#or admissions In MS0 Test held on: Employment status: !mployed Applicable at n4!mployed Self4!mployed "ot

Employment Record:
*osition =eld Organi>ation *eriod ?ob Description

Present Employers Address: Office *hone "o$ No. of Pu lications$ /if any0$ !ist of Pu lications$ /use separate sheet if necessary0 !4mail$

Admission #orm$ Spring %&'(

COMSATS Institute of Information Technology Virtual Campus Islamabad

A"aila ility of #unds:

/3y some funding agency0 If yes@ please Indicate$ #unding agency$ Amount per year$ Duration$

9es

"o

If "o@ please state hoA education cost Aill be met. Source$ Amount per year$ Duration$

A"aila ility for studies:

If employed@ please indicate if lea:e Aill be granted by your employer 9es "o Specify

$N%ERTA&'NG
I Mr. 7Ms son7daughter of hereby solemnly declare that the information pro:ided on this form is true and correct to the best of my ;noAledge. I underta;e to adhere to all the rules@ regulations@ and instruction framed 7 issued by CIIT from time to time regarding academics@ discipline and fees@ etc. I further ta;e upon myself that during my stay at the CIIT@ I shall not ta;e part in any acti:ity@ Ahich may be contrary to the interests of the institute. If I am found in any unlaAful acti:ity@ or pro:iding incorrect information at any stage during my stay in CIIT@ the institute shall ha:e the right to cancel my admission. I underta;e that it2s my responsibility to pay all admissible tuition fee and other administrati:e charges regularly by the due dates@ failing Ahich I could be liable to pay late fee. I understand that in Case of non4payment of fees. CIIT reser:es the right to cancel my admission. Admission #orm$ Spring %&'(

COMSATS Institute of Information Technology Virtual Campus Islamabad

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I agree to abide by all the rules and regulation of the institute as Aell as this understanding and affi6 my signature hereto. Signature of candidate Date

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(hec) !ist:
*lease remember to attach the folloAing documents Aith your application. '. TAo recent passport si>e photographs. %. TAo attested photocopies of your national identity card. 1. TAo attested photocopies of passport /for international student0 (. TAo attested copies of all academic certificate 7 degrees. 5. Attested copy of letter of financial support by funding agency. B. Attested copy of "TS score card. C. Any other rele:ant document/s0. 4444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 44444444444

#or office use

Registration "o$ Application Recei:ed 3y$ Chec;ed by$ Recommended "ot4Recommended Secretary Graduate admission committee %eptt. *f Appro:ed "ot4appro:ed Dean /Concerned faculty0 Date Date

Admission #orm$ Spring %&'(

COMSATS Institute of Information Technology Virtual Campus Islamabad

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#aculty of Date$

'nstructions:
'. Applicants Aho are already employed Aill be re,uired to pro:ide "OC from their employer at the time inter:ieA. %. If you ha:e doAnloaded the form from CIIT Aebsite@ then please attach a ban; draft 7 pay Order of Rs.'&&&74 in fa:or of COMSATS Institute of information Technology Virtual Campus. 1. Applicants are ad:ised to bring original academic certificates 7 degrees at the time of inter:ieA.

Admission #orm$ Spring %&'(