Application Form - UVAS

S. No: UVAS/IT___________ Price Rs: 200/-________________Tel. (Ravi Campus Off.) 042-99238759, 049-4009452, 0333-5165102(Institute of Continuing Education & Extension)Select Centre (Tick one only, use separate form for more than one centers)1) ICE&E, Ravi Campus-Pattoki 2) PVS, Karor Lal Essan, LayyahAdmission Form Fee Deposit Slip No.AttestedPICTUREAPPLICATION FORM FOR ADMISSION TODAIRY HERD SUPERVISOR DIPLOMA COURSE (SESSION 2013-2014)1. Name of Applicant: _________________________________________________________(In Block Letters)2. Father’s Name: ____________________________________________________________(In Block Letters)3. CNIC No/ Form B No: ________________________________________________________4. Date of Birth:_______________________________________________________________5. Exact age on last date for submitting application: (Year_______Month_______Day_____)6. a). Permanent Address: ________________________________________________________________________________________________________________________________b). Postal Address: ____________________________________________________________________________________________________________________________________6 Contact Nos. ______________________________________________________________Board of Intermediateand Secondary EducationRoll NoPassing YearMarksObtainedTotalMarksMarks %DivisionSignature: _________________NOTE:i) Incase of downloaded form from website, please deposit Rs. 200 in the UVAS-ICE&E accountNo. 01277900359401 (HBL, Civil Lines Lahore)ii) Attested photocopies of matriculation, Character and Domicile Certificates, CNIC/ Farm-Balong with CNIC of father/guardian must be attached with the application.iii) Fee for the Diploma is Rs. 41000/-. (Rs. 24000 for 1 st semester & Rs. 17000/- for 2 nd semester)iv) Incomplete application will not be entertained.

UNDERTAKINGI ________________________________Son/Daughter of______________________________Hereby solemnly declare and affirm as under:1. I shall undertake to abide by Students (Discipline & Conduct) Regulations, 2002, University ofVeterinary and Animal Sciences, Lahore and other rules/regulations framed by the TrainingInstitute from time to time.2. I further undertake that if I am found involved in any unlawful/ political activity or provideincorrect information at any stage of study, the institution shall have the right to cancel myadmission without assigning any reason.__________________________Signature of Father/Guardian_______________________Signature of the ApplicantCNIC Number of Father/ Guardian: __________________________________________________Place of Issue: _____________________________ (Photocopy Attached)Address:____________________________________________________________________________Telephone No. (if any): ___________________________________________________________Signature of Father/ GuardianFOR OFFICIAL USE ONLY1. Matric with Science 4. Others _______________________2. Age Limit __________________________3. Marks in Matric (45%) __________________________Admission Incharge