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ALLAMAIQBALOPENUNIVERSITY
FormNo 174515
ADMISSIONFORM WebLot No1
FOROFFICEUSEONLY
NAMEOFPROGRAM:Bachelor(CERT.(LIB&INF.SCI))
BatchNO
SEMESTER:SPRING2017 RT DOMICILEDISTT
2
1. RegistrationNo.(IfyouareRegisteredwithAIOU)
PERSONALINFORMATION
5 PostalAddress: CHAKNO.117J/BDHANOLAMILLATROADFAISALABAD
1 0422 ORGANIZINGLIBRARYRESOURSES
2 0423 LIBRARYSERVICES
13. FOROFFICIALUSEONLY
DISTT TEH EDU LV CLUS ST BANKCODE FT FEE
Coding Eligibility
BANKCHALLANNo.
NameofBankandBranch
BankChallanNo. 174515
14. =1985/(onethousandninehundredeightyfive
AmountRs.
only)
StudentSignature
Dated _____________
http://online.aiou.edu.pk/print.asp?FormNumber=174515 1/3
3/23/2017 StudentEnrolmentPrint
15.AcademicInformation
Level Year Grade/Division MajorSubjects Board/University
Graduation
Masters
MS/Mphil
Others
16.ProfessionalExperience(Ifany)
S.No Organization JobTitle MainAssigment From To
17.Instructions/RegulationRegardingADMISSION
1.Admissionwillnotbegrantediftheadmissionformisincompleteinanyrespect(e.g.lessfee,unattestedphotocopiesofcertificates,partial
information).
2.Admissionwillnotbegrantediftheformorfeeisdepositedotherthanprocedurementionedintheprospectus.
3.Photocopyoftheaddmissionformisnotacceptable.
4.Candidatesareadvisedtowritetheiraddressclearandlegiblehandwriting.Universityreservestherightnottograntadmissionincaseofpostal
addressgivenwithP.O.Boxnumberorinthecaseofsomeoneotherthancandidate'sname.
5.Pasteonepictureontheaddmissionform.Donotstaple
6.Duringfillingform,pleasewritecoursecodeverycarefullybecausetheadmissionismadeaccordingtocoursecodementionedbystudent.Ifthe
studentleavethecoursecodeshis/heradmissionwillbefinalizedaspertitleofcourses.Incaseofanyfault/discrepencythestudentwillhaveto
depositchangeofcoursefeebeforetheduedateoffirstassigment.Incaseoffailingtodosostudenthimselfwillberesponsibleforit.
18.AFFIDAVIT
IMUHAMMADBILALS/OMUHAMMADFAROOQsolemnlyagreethat:
1.InformationgiveninadmissionformforSpring/Autumnsemestersaretruetomyknowledge.Ihavestudied/readalltherulesand
conditionsthroughlybeforefillinginadmissionform.
2.Iwillabidebytheuniversityrulesconstitutedfromtimetotime.
3.Incaseoflitigation,IwillfilemyappealinthecourtsofRawalpindiandIslamabadonly.
4.Myadmissionisprovisionalandtheuniversityreservestherighttocancelmyadmissionandconfiscatemyduesifinformationgivenbyme
isworng.
5.Incaseofadmissionintwoprogramesatatime,theuniversityisauthorizetocanceladmissionofthefreshprogrameandconfiscatefeeas
perrules.
6.Ihavefilledintheadmissionformwiththeconsentofmyparents/guardian.
7.IgivemyconsenttoAIOUtousemyMobileNo.fornecessarycommunicationbetweenAIOUandmyself.
8.Ialsodeclearthatincaseofprovisionofanywrongstatment/informationatthetimeofgettingadmission/deviationfromAIOUprescribed
rules/policyintheadvertisement/Prospectusandsubmissionoffakedegreeorthirddivisiononmypart(student),theuniversityhastherightto
cancelmyadmissionandstopmydegree.
PermanentAddress: CHAKNO.117J/BDHANOLAMILLATROADFAISALABAD,TehsilFAISALABAD(00),DistricFAISALABAD(031)
MobileNo: 03067169717 Email: mb75744@gmail.com
Dated: 23Mar2017
SignatureofApplicant
http://online.aiou.edu.pk/print.asp?FormNumber=174515 2/3
3/23/2017 StudentEnrolmentPrint
ALLAMAIQBALOPENUNIVERSITY
CopyNo.1(ForAdmissionDepartment)
NBP(CA4839) ABL(0010000336340088) FWBL(CD1001457) MCB(TBM0606280611002439) ALFALAH(00821003467707)
PostalAddress: CHAKNO.117J/BDHANOLAMILLATROADFAISALABAD,TehsilFAISALABAD,DistricFAISALABAD
BankBranchCode: BankOfficerSignature
ALLAMAIQBALOPENUNIVERSITY
CopyNo2.(ForAccountDepartment)
NBP(CA4839) ABL(0010000336340088) FWBL(CD1001457) MCB(TBM0606280611002439) ALFALAH(00821003467707)
PostalAddress: CHAKNO.117J/BDHANOLAMILLATROADFAISALABAD,TehsilFAISALABAD,DistricFAISALABAD
BankBranchCode: BankOfficerSignature
ALLAMAIQBALOPENUNIVERSITY
CopyNo3.(ForBankBranch)
NBP(CA4839) ABL(0010000336340088) FWBL(CD1001457) MCB(TBM0606280611002439) ALFALAH(00821003467707)
PostalAddress: CHAKNO.117J/BDHANOLAMILLATROADFAISALABAD,TehsilFAISALABAD,DistricFAISALABAD
BankBranchCode: BankOfficerSignature
ALLAMAIQBALOPENUNIVERSITY
CopyNo4.(ForStudent)
NBP(CA4839) ABL(0010000336340088) FWBL(CD1001457) MCB(TBM0606280611002439) ALFALAH(00821003467707)
PostalAddress: CHAKNO.117J/BDHANOLAMILLATROADFAISALABAD,TehsilFAISALABAD,DistricFAISALABAD
BankBranchCode: BankOfficerSignature
http://online.aiou.edu.pk/print.asp?FormNumber=174515 3/3