Gniversity of Central Punjab | "eres
Reference No.
APPLICATION FORM
Please complete this form in block letters or type
Program Applied for:
PERSONAL INFORMATION
Candidate's Name: (as por mattcaaton contest) Gendi
Male 2)
Female []
Candidate's CNICIB-Form No: Place of Birth:
= = Nationality:
Date of Birth: Religion
= = Domicile
Day Wont Yoor Marital Status
Father's Name’
Father's CNIC
Father's occupation/Designation:
Guardian's Name
NIC Phone:
= = Cell:
Email:
Permanent Address
Present Address: (If different from above)
Telephone Numbers: Landline. Cell
Email(s)
Contact in case of emergency.ACADEMIC BACKGROUND AND QUALIFICATIONS (Most Recent First)
Board! | Registration Roll Degree! Main | Yearof | Marks/CGPA” | Name of
University] Number Number Certificate | Subject(s) | passing | (O!ained/Total) | institution
{in case of O14
level, IBCC
equivalence %age)|
| want to apply for concession of: PGC Discount Kinship Discount Merit based scholarship
I want to apply for transfer of credits from institute.
PROFESSIONAI IFICATIONS & WORK EXPERIENCE (Most Recent First)
Dates
Position Name of Organization
From ToOTHER TESTS AND EXAMINATIONS
Test Test Score Test Date
GMATIGRE
TOEFL
SAT
NTS
Other (Please Specify)
‘Specific objectives you wish to achieve by completing the degree in your chosen program
PEREGO)
roo Tete Ce eae OPEL OLE}
| declare that:
‘a. Ihave read the prospectus of the University and understood the contents thereof
b. The particulars given above are correct. If found otherwise, | will be liable to any action as per
policy of the University
. I admitted, | will observe the rules and regulations of the University
d._ Iwill sincerely devote myself to my studies and uphold the dignity and prestige of the university
€ Candidates awaiting results are required to sign the following undertaking:
L undertake to submit attested copy of my intermediate/A-level/Bachelor's/Master's result to the
Registrar's Office as soon as it is declared. If | fail to fulfll the eligibility criteria for admission,
University has the right to cancel my admission.
Signature of Applicant Datesere
Please make sure that you have attached the following documents.
Matriculation/O-Level Certificate Yes No
Matriculation/O-Level Detailed Marks Certificate ‘Yes No
Intermediate/A-Level Certificate Yes No
Intermediate/A-Level Detailed Marks Certificate Yes No
Bachelor's Degree Yes No
Bachelor's detailed Marks Certificate ‘Yes No
Master's Degree No
Master's Detailed Marks Certificate Yes No
Any other Degree/Diploma Yes No
Provisional Certificate (For students awaiting results)/Copy of Roll No.Slip Yes No
National ID card! B Form ‘Yes No
03 Recent photographs with white Background (1° x 1") Yes No
‘Write your Reference No. and program on the Back of Each.
SMS NOTIFICATION
(Name in block lettors)
hereby allow the University of Central Punjab to send me text messages including end-of-semester grades and
‘other important information
Mobile number:
Student's signature:
Note: University will ensure that mobile telephone number of the student remains confidential, and will be used
by the University only for SMS service.