9/5/2016 StudentEnrolmentPrint

ALLAMAIQBALOPENUNIVERSITY FormNo 134779

ADMISSIONFORM
FOROFFICEUSEONLY
NAMEOFPROGRAM:M.ED(M.ED(1YEAR)STE) BatchNO

RT DOMICILEDISTT
SEMESTER:AUTUMN2016

1. RegistrationNo.(IfyouareRegisteredwithAIOU) 14PSA05254

PERSONALINFORMATION

3. Name: Mr. ROHANKHURSHEED

4. FatherName: S/O KHURSHEEDAHMAD

Mailing/Postal
5 HOUSENO.768BLOCKD,OLDSATELLITETOWN
Address:
MailingDistrict: SARGODHA(029) MailingTehsil: SARGODHA(00)
Permament
6 HOUSENO.768BLOCKD,OLDSATELLITETOWN
Address:
PermamentDistrict: SARGODHA(029) PermamentTehsil: SARGODHA(00)

7.DateofBirth: 211991 8.MobileNo: 03167706006

9.CNICNo/BFormNo: 3840330730023
10.Occupation: STUDENT 11.Qualification: Bachelors
12.Religion: ISLAM 13.Domicile: SARGODHA(029)
ForAccountUse

S.no Code CourseTitle

1 0837 EDUCATIONALRESEARCH

2 0838 CURRICULUMDEVELOPMENT&INSTRUCTIONS

3 0840 EDUCATIONALPSYCHOLOGY

4 0831 FOUNDATIONSOFEDUCATION

5 6505 ISLAMICSYSTEMOFEDUCATION

6 6507 EDUCATIONALMEASUREMENT&EVALUATION

14. FOROFFICIALUSEONLY

DISTT TEH EDU LV CLUS ST BANKCODE FT FEE


Coding Eligibility
BANKCHALLANNo.
NameofBankand

Branch
BankChallanNo. 134779
15.
=12340/(twelvethousandthreehundredforty
AmountRs.
only) StudentSignature
Dated 592016

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9/5/2016 StudentEnrolmentPrint

16.AcademicInformation
Level Year Grade/Division MajorSubjects Board/University

Matric 2006 2ND SCIENCE BISE,SARGODHA

Intermediate 2008 1ST COMMERCE PBTE,LAHORE

Graduation 2013 2ND ARTS UNIVERSITYOFSARGODHA

Masters 2015 1ST BED AIOU,ISLAMABAD

MS/Mphil

Others

17.ProfessionalExperience(Ifany)
S.No Organization JobTitle MainAssigment From To

18.Instructions/RegulationRegardingADMISSION
1.Admissionwillnotbegrantediftheadmissionformisincompleteinanyrespect(e.g.lessfee,unattestedphotocopiesofcertificates,partial
information).

2.Admissionwillnotbegrantediftheformorfeeisdepositedotherthanprocedurementionedintheprospectus.

3.Photocopyoftheaddmissionformisnotacceptable.
4.Candidatesareadvisedtowritetheiraddressclearandlegiblehandwriting.Universityreservestherightnottograntadmissionincaseof
postaladdressgivenwithP.O.Boxnumberorinthecaseofsomeoneotherthancandidate'sname.

5.Pasteonepictureontheaddmissionform.Donotstaple
6.Duringfillingform,pleasewritecoursecodeverycarefullybecausetheadmissionismadeaccordingtocoursecodementionedbystudent.
Ifthestudentleavethecoursecodeshis/heradmissionwillbefinalizedaspertitleofcourses.Incaseofanyfault/discrepencythestudentwill
havetodepositchangeofcoursefeebeforetheduedateoffirstassigment.Incaseoffailingtodosostudenthimselfwillberesponsibleforit.

19.AFFIDAVIT

IROHANKHURSHEEDS/OKHURSHEEDAHMADsolemnlyagreethat:
1.InformationgiveninadmissionformforSpring/Autumnsemestersaretruetomyknowledge.Ihavestudied/readalltherulesand
conditionsthroughlybeforefillinginadmissionform.

2.Iwillabidebytheuniversityrulesconstitutedfromtimetotime.

3.Incaseoflitigation,IwillfilemyappealinthecourtsofRawalpindiandIslamabadonly.
4.Myadmissionisprovisionalandtheuniversityreservestherighttocancelmyadmissionandconfiscatemyduesifinformationgivenby
meisworng.
5.Incaseofadmissionintwoprogramesatatime,theuniversityisauthorizetocanceladmissionofthefreshprogrameandconfiscatefee
asperrules.

6.Ihavefilledintheadmissionformwiththeconsentofmyparents/guardian.

7.IgivemyconsenttoAIOUtousemyMobileNo.fornecessarycommunicationbetweenAIOUandmyself.
8.Ialsodeclearthatincaseofprovisionofanywrongstatment/informationatthetimeofgettingadmission/deviationfromAIOU
prescribedrules/policyintheadvertisement/Prospectusandsubmissionoffakedegreeorthirddivisiononmypart(student),theuniversityhas
therighttocancelmyadmissionandstopmydegree.
PermanentAddress: HOUSENO.768BLOCKD,OLDSATELLITETOWN,TehsilSARGODHA,DistricSARGODHA
MobileNo: 03167706006 Email: rohan.khursheed@gmail.com
Dated: 592016


SignatureofApplicant

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9/5/2016 StudentEnrolmentPrint

ALLAMAIQBALOPENUNIVERSITY
CopyNo.1(ForAdmissionDepartment)

ChallanNo: 134779 Date: 592016

Name: ROHANKHURSHEED FatherName: KHURSHEEDAHMAD

MailingAddress: HOUSENO.768BLOCKD,OLDSATELLITETOWN,TehsilSARGODHA,DistricSARGODHA

Amount: =12340/ Amountinwords: twelvethousandthreehundredfortyonly

Program: M.ED(M.ED(1YEAR)STE) Semester: AUTUMN2016

BankBranchCode: BankOfficerSignature

ALLAMAIQBALOPENUNIVERSITY
CopyNo2.(ForAccountDepartment)

ChallanNo: 134779 Date: 592016

Name: ROHANKHURSHEED FatherName: KHURSHEEDAHMAD

MailingAddress: HOUSENO.768BLOCKD,OLDSATELLITETOWN,TehsilSARGODHA,DistricSARGODHA

Amount: =12340/ Amountinwords: twelvethousandthreehundredfortyonly

Program: M.ED(M.ED(1YEAR)STE) Semester: AUTUMN2016

BankBranchCode: BankOfficerSignature

ALLAMAIQBALOPENUNIVERSITY
CopyNo3.(ForBankBranch)

ChallanNo: 134779 Date: 592016

Name: ROHANKHURSHEED FatherName: KHURSHEEDAHMAD

MailingAddress: HOUSENO.768BLOCKD,OLDSATELLITETOWN,TehsilSARGODHA,DistricSARGODHA

Amount: =12340/ Amountinwords: twelvethousandthreehundredfortyonly

Program: M.ED(M.ED(1YEAR)STE) Semester: AUTUMN2016

BankBranchCode: BankOfficerSignature

ALLAMAIQBALOPENUNIVERSITY
CopyNo4.(ForStudent)

ChallanNo: 134779 Date: 592016

Name: ROHANKHURSHEED FatherName: KHURSHEEDAHMAD

MailingAddress: HOUSENO.768BLOCKD,OLDSATELLITETOWN,TehsilSARGODHA,DistricSARGODHA

Amount: =12340/ Amountinwords: twelvethousandthreehundredfortyonly

Program: M.ED(M.ED(1YEAR)STE) Semester: AUTUMN2016

BankBranchCode: BankOfficerSignature

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