1. MUHAMMAD SHAHID
Name: _____________________________________ 9. Current Mailing Address:
First Middle Last MOHALLA GHULAMPURA SADIQ ROAD
___________________________________________
2. Father’s Name: MUHAMMAD YOUNAS
_____________________________
___________________________________________
MOLVI HALEEM WALA GUJRANWALA
3. PAKISTANO
Nationality: ________________________________
10. Work Phone Number: _______________________
4. 34101-7131010-3
N.I.C./Passport Number: _____________________
0554444985
11. Home Phone Number: _______________________
5. Date of Birth: ______________________________
5 MARCH, 1991
Day Month Year 12. Primary Mobile Number: ____________________
0336-4982413
6. Gender: Male Female SHAHIDYOUNASGRW@GMAIL.COM
13. E-Mail: ___________________________________
7. Family Income: Less Then Rs.10,000
8. Permanent Address: 14. Processing Fee:
MOHALLA GHULAMPURA SADIQ ROAD
___________________________________________ i. Amount Paid: ________________________________
2000
___________________________________________
MOLVI HALEEM WALA GUJRANWALA ii. Receipt/Postal Order/Draft No: Sp17/00102
_________________
Academic Record
Institutions Dates Certificate Major Field Dates GPA/
Attended or Degree (Elect, Comp., Awarded/ %age/
From - To (B.E., B.Sc., Avionics Engg., Expected Class-
M.Sc., etc) Comp. Sc, etc) (Mo, Yr) Rank
BOARD OF INTERMEDIATE AND SECONDARY 2005 To 2007 SSC SCIENCE 2007 782 / 850
EDUCATION, GUJRANWALA
CAMBRIDGE 2007 To 2009 H.S.S.C FSC 2009 939 / 1100
UNIVERSITY OF ENGINEERING AND 2009 To 2013 B. SC ELECTRICAL POWER 2013 3.27 / 4
TECHNOLOGY, TAXILA
Declaration / Undertaking :
I certify that all the information provided are complete and accurate to the best of my knowledge and belief. I do understand that
if any information is found to be incorrect at any stage, this would automatically result into the cancellation of my admission without
any liability on HITEC University. I also certify to bear all the expenses of the course.
Please tick the following as you ensure that all the required documents are enclosed.
Documents Required:
Application ID/Roll No: Sp-2017-G-00612 Application ID/Roll No: Sp-2017-G-00612 Application ID/Roll No: Sp-2017-G-00612
Gross Amount Payable 2000.00 Gross Amount Payable 2000.00 Gross Amount Payable 2000.00
Less: Scholarship (If any) 0.00 Less: Scholarship (If any) 0.00 Less: Scholarship (If any) 0.00
Less: Amount Already Paid 0.00 Less: Amount Already Paid 0.00 Less: Amount Already Paid 0.00
Less: Amount Paid Now 2000.00 Less: Amount Paid Now 2000.00 Less: Amount Paid Now 2000.00
Balance Payable 0.00 Balance Payable 0.00 Balance Payable 0.00
Total Amount to be Paid 2000.00 Total Amount to be Paid 2000.00 Total Amount to be Paid 2000.00
Rs. Two Thousand Only Rs. Two Thousand Only Rs. Two Thousand Only
Payment Mode: Cash/Cheque/Po No./DD N0 Payment Mode: Cash/Cheque/Po No./DD N0 Payment Mode: Cash/Cheque/Po No./DD N0
To be Paid under Account No. 0205-1002544145 with To be Paid under Account No. 0205-1002544145 with To be Paid under Account No. 0205-1002544145 with
Bank Alfalah Ltd. Taxila Branch Bank Alfalah Ltd. Taxila Branch Bank Alfalah Ltd. Taxila Branch
Pay the cost of Prospectus in any branch of Bank Alfalah Ltd. Contact Us at 0320-5060001 for any query
Expiray Date: Friday, 10 February 2017 Expiray Date: Friday, 10 February 2017 Expiray Date: Friday, 10 February 2017
Created with PDF4NET 2.7 evaluation version
HITEC University HITEC University HITEC University
Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk
Application ID/Roll No: Sp-2017-G-00612 Application ID/Roll No: Sp-2017-G-00612 Application ID/Roll No: Sp-2017-G-00612
Gross Amount Payable 2000.00 Gross Amount Payable 2000.00 Gross Amount Payable 2000.00
Less: Scholarship (If any) 0.00 Less: Scholarship (If any) 0.00 Less: Scholarship (If any) 0.00
Less: Amount Already Paid 0.00 Less: Amount Already Paid 0.00 Less: Amount Already Paid 0.00
Less: Amount Paid Now 2000.00 Less: Amount Paid Now 2000.00 Less: Amount Paid Now 2000.00
Balance Payable 0.00 Balance Payable 0.00 Balance Payable 0.00
Total Amount to be Paid 2000.00 Total Amount to be Paid 2000.00 Total Amount to be Paid 2000.00
Rs. Two Thousand Only Rs. Two Thousand Only Rs. Two Thousand Only
Payment Mode: Cash/Cheque/Po No./DD N0 Payment Mode: Cash/Cheque/Po No./DD N0 Payment Mode: Cash/Cheque/Po No./DD N0
To be Paid under Account No. 0205-1002544145 with To be Paid under Account No. 0205-1002544145 with To be Paid under Account No. 0205-1002544145 with
Bank Alfalah Ltd. Taxila Branch Bank Alfalah Ltd. Taxila Branch Bank Alfalah Ltd. Taxila Branch