Form Printed on 1/22/2015 at 3:49:39PM

Balochistan University of Information Technology,Engineering

and Management Sciences, Quetta
Takatu Campus Airport Road, Baleli. Quetta (Main Campus)
(Admission office) Ph #: 2880110-217, 2880511-216, 2880512-211)

Faculty of Engineering

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Admissions, 2015

26838 -

Application Number:

Program of Study
MS Civil Engineering

Personal Information
Name:

YASIR KHAN

Permanent Address:
Postal Address:

CNIC/B-FORM:
Nationality:
Email:
Any Disability:
Province:

samkhail P.O, Muslimbagh, Dist. Killa Saifulla, Muslim bagh, Pakistan

Azmatullah Khan Sherani, Department Of Civil Engg., Quetta, Pakistan

56202-1850856-3
Pakistani
engr.116@gmail.com
No
Balochistan

Date of Birth:

February 02, 1985

Religion:

Muslim

Gender:

Male

Mobile/Phone:

03003816388
Killa Saifullah

District(Local/Domicile):

Father Name:

Ghulam Siddiq

CNIC:

56202-0963599-1

Address:

samkhail P.O, Muslimbagh, Dist. Killa Saifulla

Mobile/Phone:

03003816388

Email:

engr.116@gmail.com

56202-0963599-1

Guardian Name:

Ghulam Siddiq

CNIC:

Address:

samkhail P.O, Muslimbagh, Dist. Killa Saifulla

Emergency Contact:

Email:

engr.116@gmail.com

Page 1 of 3

03003816388

Form Printed on 1/22/2015 at 3:49:39PM

Academic Record
Qualification

Session

Board/University

Total Marks

Marks Obtained

Matric

2001

BISE Balochistan

850

628

FSC (Pre-Engg)

2003

BISE Balochistan

1100

842

BE

2010

Univ. of Eng & Tech

Taxila

6000

3,701

Specific Areas Of Interest/Specialization(Applicants for admission to MS/PhD)

Undertaking:
I solemnly declare that the information provided by me is correct to the best of my
knowledge. I understand and agree that any misrepresentation or omission of information
found at any stage would be a sufficient ground for rejection of admission or expulsion
from the University.
I agree to abide by all the rules and regulations enforced by BUITEMS from time to time.

Signature of the applicant: _______________________ Date: _______________

Signature of father/ guardian: _____________________ Date: _______________

Checklist Items:

(Attested Copies only)

Applicant CNIC / B-Form

Father's CNIC
Local/Domicile Certificate
Educational Documents

01 photocopy
01 photocopy
01 photocopy
01 photocopy

SSC Certificate
HSSC/ Diploma Certificate
BS/ BSc./ BA Transcript /Degree
MS/ MA/ MSc. Transcript / Degree
Character Certificate from Last Institution Attended
Recent Photographs(passport size )
Bank Draft/Money Order/ Challan PRs 2000/=
(Challan No :_____________ Date:________________)

01 photocopy
06 copies
01 original

NTS Test Result

NOC (if applicable)

01 photocopy
01 photocopy

Page 2 of 3

Form Printed on 1/22/2015 at 3:49:39PM

Balochistan University of Information

Technology, Engineering and
Management Sciences, Quetta
(BUITEMS)

Balochistan University of Information

Technology, Engineering and
Management Sciences, Quetta
(BUITEMS)

BUITEMS Copy

Bank Copy

Account Number:23587000000201
Invoice Date:

Invoice Date:

Balochistan University of Information

Technology, Engineering and
Management Sciences, Quetta
(BUITEMS)

Department Copy

Account Number:23587000000201

January 22, 2015

Account Number:23587000000201

January 22, 2015

Invoice Date:

Account Number:23587000000201

January 22, 2015

January 22, 2015

26838

Application Number:

26838

Application Number:

26838

Application Number:

26838

YASIR KHAN

Name:

YASIR KHAN

Name:

YASIR KHAN

Name:

YASIR KHAN

Father Name:

GHULAM SIDDIQ

Father Name:

GHULAM SIDDIQ

Father Name:

GHULAM SIDDIQ

Father Name:

GHULAM SIDDIQ

Study Program:

MS Civil Engineering

Study Program:

MS Civil Engineering

Study Program:

MS Civil Engineering

Study Program:

MS Civil Engineering

Admit Term:

2015

Admit Term:

2015

Admit Term:

2015

Admit Term:

2015

Amount Description

Application Processing Fee

Amount

Rs. 2,000

Amount in words: Two Thousand only

S. No.

Amount Description

Application Processing Fee

Amount

Rs. 2,000

Amount in words: Two Thousand only

S. No.

Amount Description

Application Processing Fee

Invoice Date:

Name:

Applicant Copy

Application Number:

S. No.

Balochistan University of Information

Technology, Engineering and
Management Sciences, Quetta
(BUITEMS)

Amount

Rs. 2,000

Amount in words: Two Thousand only

S. No.

Amount Description

Application Processing Fee

Amount

Rs. 2,000

Amount in words: Two Thousand only

Note:
* Kindly deposit the fee in HBL at Takatu/City campus
branch.
* Amount specified in the fee vouchar is acceptable only
at the bank.
* Altered fee vouchar is not acceptable for payment of
the fee.

Note:
* Kindly deposit the fee in HBL at Takatu/City campus
branch.
* Amount specified in the fee vouchar is acceptable only
at the bank.
* Altered fee vouchar is not acceptable for payment of
the fee.

Note:
* Kindly deposit the fee in HBL at Takatu/City campus
branch.
* Amount specified in the fee vouchar is acceptable only
at the bank.
* Altered fee vouchar is not acceptable for payment of
the fee.

Note:
* Kindly deposit the fee in HBL at Takatu/City campus
branch.
* Amount specified in the fee vouchar is acceptable only
at the bank.
* Altered fee vouchar is not acceptable for payment of
the fee.

Applicants
other
then
Quetta
City,
must attach a pay order/demand draft
of amounting Rs. 2000/- in favor of
Director Finance BUITEMS.

Applicants
other
then
Quetta
City,
must attach a pay order/demand draft
of amounting Rs. 2000/- in favor of
Director Finance BUITEMS.

Applicants
other
then
Quetta
City,
must attach a pay order/demand draft
of amounting Rs. 2000/- in favor of
Director Finance BUITEMS.

Applicants
other
then
Quetta
City,
must attach a pay order/demand draft
of amounting Rs. 2000/- in favor of
Director Finance BUITEMS.

Applicant

Page 3 of 3

Cashier

Applicant

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Applicant

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Applicant

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