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 ToOTHER 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 Datesere 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.