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PHONE No.(Res) / MOBILE NO.Applicant’s Mob No.__________________Phone No. Residence ________________Fa<strong>the</strong>r’s Mob No.___________________Mo<strong>the</strong>r’s Mob No.___________________Fa<strong>the</strong>r’s email address_______________Mo<strong>the</strong>r’s email address_______________PERMANENT HOME ADDRESS:CURRENT ADDRESS (if different from Permanent Address):SECTION–III ACADEMIC RECORDCertificate Year Reg. No. RollNo.MarksDiv/GradeSubjectsName ofBoard/UniversityMatric/O LevelFA/FSc/ A. LevelBS (16 years ofeducation) ORBA/BSc &MA/M.Sc. (16years ofeducation)MS/MPhilSection–IV GAT TEST RESULTGAT ROLL NOGATREGISTRATIONNOGAT (TYPE) MONTH YEAR CENTRE TESTSCORESection–V DESCRIPTION OF RESEARCH WORK (BS/MSc, MS/M.Phil.)TITLE OF THESIS/REPORT SUBJECT YEAR INSTITUTION


SECTION–VI DESCRIPTION OF PROFESSIONAL EXPERIENCEJOB TITLE ORGANIZATION * GOVT/SEMI GOVT/PRIVATEDURATION* Note: In case of Govt. / Semi Govt. Please provide No Objection Certificate from <strong>the</strong> Department.SECTION–VII PUBLICATION, IF ANY(title of paper, journal, volume , year ,page) list of publications may <strong>be</strong> attachedHOSTEL ACCOMODATION REQUIRED: YES/NOMODE OF TRANSPORT: Bus / van/ Mini Bus/ Rickshaw/ Bike/ Car/ O<strong>the</strong>r MediumSection-VIII UNDERTAKING BY THE CANDIDATE1. In case I am granted admission, I (Name) ----------------------------------------------------- will not take part inany political activities of any kind.2. I affirm that I was nei<strong>the</strong>r expelled /rusticated <strong>by</strong> any institution at any time, nor was ever anydisciplinary action taken against me.3. I affirm that if at any stage <strong>the</strong> documents submitted <strong>by</strong> me are proved <strong>for</strong>ged, fake, mis-stated orerroneous which affect my merit, I shall <strong>be</strong> fully responsible and that <strong>the</strong> <strong>university</strong> shall <strong>be</strong> authorized<strong>to</strong> cancel my admission and take <strong>the</strong> necessary action against me.4. I affirm that if I am found guilty of gross misconduct or damage <strong>the</strong> <strong>university</strong> property, Vice –Chancellor has <strong>the</strong> final authority <strong>to</strong> strike my name off <strong>the</strong> <strong>university</strong> rolls.Date: -------------------------------- --------------------------------------Signature of Applicant


Section–IX UNDERTAKING BY THE PARENT / GUARDIAN1. I ------------------------------fa<strong>the</strong>r/guardian of ------------------------------------- declare that I will <strong>be</strong>responsible <strong>for</strong> <strong>the</strong> payment of <strong>university</strong> fees and o<strong>the</strong>r dues. I will also <strong>be</strong> responsible <strong>for</strong> making upany loss or damages caused <strong>by</strong> my daughter <strong>to</strong> <strong>the</strong> <strong>university</strong> property.2. I affirm that <strong>the</strong> Vice-Chancellor can debar my daughter from appearing in <strong>the</strong> <strong>university</strong> Exams <strong>for</strong>shortage of attendance.3. I affirm that if <strong>the</strong> head of <strong>the</strong> institution calls me at anytime <strong>to</strong> discuss <strong>the</strong> conduct and academiccarrier of my daughter and if I am unable <strong>to</strong> contact <strong>the</strong> <strong>university</strong> authorities, <strong>the</strong> Vice-Chancellorreserves every right <strong>to</strong> decide unilaterally and this decision will <strong>be</strong> acceptable <strong>to</strong> me.4. I concede this authority vested in <strong>the</strong> Vice-Chancellor <strong>to</strong> strike my daughter’s name off <strong>the</strong> <strong>university</strong>rolls as a punishment <strong>for</strong> <strong>the</strong> infringement of <strong>university</strong> rules and discipline printed in <strong>the</strong> prospectusand amended from time <strong>to</strong> time.Date : ------------------------------- --------------------------------Documents <strong>to</strong> <strong>be</strong> attachedSignature of Fa<strong>the</strong>r /GuardianAttested copy of <strong>the</strong> matriculation certificate/equivalentAttested copy of <strong>the</strong> intermediate certificate/equivalentAttested copy of BS/EquivalentAttested copy of <strong>the</strong> National Identity CardAttested copy of <strong>the</strong> Fa<strong>the</strong>r’s/Guardian’s National Identity CardAttested copy of <strong>the</strong> Domicile CertificateCharacter CertificateCopy of GAT Result cardMigration Certificate (in case of o<strong>the</strong>r University)NOC (if u are in service, provide NOC Certificate from <strong>the</strong> concerned department)Income Certificate of Fa<strong>the</strong>r/ GuardianThree attested recent passport size pho<strong>to</strong>graphsIn case of Foreign Candidate:o Attested pho<strong>to</strong>copy of Foreign Passport.o Forwarding letter from <strong>the</strong> concerned Embassy and Higher Education Department, Govt. of<strong>the</strong> Punjab, Lahore.Note : (i) please bring <strong>the</strong> original certificates at <strong>the</strong> time of fee submission.Verified <strong>by</strong> Admission Committee _______________________Verified <strong>by</strong> Head of <strong>the</strong> Department _____________________Recommended <strong>for</strong> admission __________________________REGISTRARLCWU, LAHORETO BE FILLED BY THE OFFICESIGNATURE OF THE DEALING ASSISTANT WITH STAMP: -------------------------------------FORM NO:__________________________ ADMISSION TO MS OR_______________________________________NAME OF APPLICANT:___________________________________________________________________________FATHER’S NAME: _______________________________________________________________________________MAJOR SUBJECT :_______________________________ BASIS OF ADMISSIOIN :___________________________DATE OF INTERVIEW /TRIAL/TEST:________________ MARKS : _______________ DATE:___________________NOTE: THE CANDIDATE MUST KEEP THIS RECEIPTS/SLIP TO BE PRODUCED AT THE TIME OFINTERVIEW/TRIAL.NO ENTRY IN THE CAMPUS WILL BE ALLOWED WITHOUT THIS SLIP.

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