punjab university-admission form

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UNIVERSITY OF THE PUNJAB

APPLICATION FOR ADMISSION

Session 2010-2011

FOR OFFICE USE ONLY

Application Form No.                      

Date of Receipt

 

Faculty/Institute/College/Department

Campus

IMPOTANT INSTRUCTIONS

Please read the Instructions carefully.

1.        Incomplete application shall not be entertained. 2.        See department’s prospectus to choose program(s) and its eligibility. 3.        Against each program there are choices of session and seat category. 4.        You can tick more than one session and seat category, if that program is being offered in that session and with that category. 5.        See prospectus for the categories of seats and session for each selected program.

Sr.#	Program	Session			Seat category
		Morning	Replica	Evening	Merit	Category of reserved SEAT applied for	Self Finance	Self Support
1.
2.
3.
4.
5.

PERSONAL BIO-DATA:

1.NAME

2. FATHER’S NAME:

3.OCCUPATION:                                                   4.MONTHLY INCOME:

_

_

5.FATHER’S NIC            

M

F

6.GENDER:                       7.DATE OF BIRTH: (dd/mm/yyyy)

Married

Unmarried

8.Martial Status:

9.PERMANENT ADDRESS:

10.MAILING ADDRESS: (If different than above)

-

11.TELEPHONE:                                     12.MOB. :

     ^{with area code}

-

-

13.NATIONALITY:                                                                                                                                14.NIC:

15.RELIGON:                                                                                                                   16.DOMICILE:

17.E-MAIL: (In block letters)                                                                               18.BLOOD GROUP:

19.IF FATHER DECEASED, NAME AND ADDRESS OF GAURDIAN WITH RELATIONSHIP:

20.Registration Number:

Board:                                 University: