Sr. No. FORM F-I

APPLICATION FORM FOR ADMISSION TO THE BACHELORS DEGREE COURSES FOR 2011-ENTRY

UNIVERSITY OF ENGINEERING AND TECHNOLOGY, TAXILA

A. Personal Details:All entries should be in CAPITAL LETTERS. Leave spaces between WORDS.

Entry Test Roll No: ___50556___ Application No: ______(for office use)

(To be filled in by the Candidate)

Name of Applicant: / W / A / Q / A / S / M / E / H / M / O / O / D
(Spellings as per Matriculation Certificate)
Father’s Name: / M / U / H / A / M / M / A / D / K / H / A / L / I / D
(Spellings as per Matriculation Certificate) / M / E / H / M / O / O / D
Date of Birth / 2 / 4 / - / 0 / 5 / - / 1 / 9 / 9 / 2
(as per Matriculation Certificate): / D / D / - / M / M / - / Y / Y / Y / Y

Postal Address: HOUSE NO. A-6, KHAYABAN-E-SIR SYED, RAWALPINDI______

______Phone/Cell #: 051-4456789______

Permanent Address: NEAR USMANIA MASJID, MOHALLAH PARHI, GUJRAT ______

______Phone/Cell #: 0533-678954______

Domicile: District GUJRAT______(Attach attested photocopy of domicile certificate)

Religion: ISLAM______E-Mail:

B. Academic Details: Fill in the relevant rows and put a cross sing (X) against which is not applicable in your case

(Give Percentage of Marks up to 3 decimal places). Attach attested photocopies of relevant certificates/marks sheets.

NCC Marks: YesNo Hifz-e-Quran Marks: Yes No

Examinations Passed / Year of Passing / Board/
University / Marks
Obtained / Maximum Marks / Total Weighted Percentage
SSC / 2009 / FBISE, Islamabad / 695 / 850
HSSC (Pre-Engg.) / 2011 / FBISE, Islamabad / 875 / 1100 / 55.681
B.Sc. / X / X / X / X / X
Diploma (D.A.E) / X / X / X / X / X
Entry Test / 2011 / UET, Lahore / 315 / 400 / 23.625
Cambridge
OHSC/GCE(A) or Any other equivalent Exam. / X / X / X / X / X

Note: Tick in the brackets if seeking admission on the basis of FSc (Pre-Medical) Plus Additional Math: [ ]

The Section below must be filled with care (see note on back of the form)

C. Preferences: (Applicants applying for Chakwal Campus should use only W1, W2, S1, S2, P, Z and I (1).)

Preference / Discipline / Category / Preference / Discipline / Category / Preference / Discipline / Category
1st / Elect / A1 / 11th / Ind / A1 / 21st
2nd / Mech / A1 / 12th / Ind / A2 / 22nd
3rd / Civil / A1 / 13th / Env / A1 / 23rd
4th / Elect / A2 / 14th / Env / A2 / 24th
5th / Tel / A1 / 15th / Electronic / A1 / 25th
6th / Comp / A1 / 16th / 26th
7th / Soft / A1 / 17th / 27th
8th / Mech / A2 / 18th / 28th
9th / Civil / A2 / 19th / 29th
10th / Electronic / W1 / 20th / 30th

Note: Please use the Discipline Codesas given on the back of the form.

Signature of the Applicant

Carefully filling of Preference Table

This is your lifetime decision. No cutting, no ink remover is allowed in this section. This choice cannot be changed at any later stage. Any mistake in this section will be irreparable. For example, a person with high marks writes 1st choice as Electrical Regular and 2nd choice as Electrical Subsidized. Then he will have to join Electrical regular although he may have merit for electrical subsidized. As a second example, a person with high marks writes 1st choice as Software and 2nd choice Electrical. Then he will have to join Software although he may have merit for Electrical.

DECLARATIONS

I. FOR MUSLIMS ONLY

a)I solemnly declare that I believe that Hazrat Muhammad (peace and blessing of ALLAH be upon him) is the last prophet of ALLAH and there is and was no prophet after him. And that I have firm faith in Islam and I am not the follower of any such person who claims to be a prophet or religious reformer after Hazrat Muhammad (peace and blessing of ALLAH be upon him). I do not belong to Qadiani or Lahori group.

b)I deserve/do not deserve scholarship out of Zakat Fund for studies at the University.

Signature of Applicant

II.FOR ALL APPLICANTS

I hereby affirm that the entries on both sides of this form are correct to the best of my knowledge and belief and that I have carefully read and understood the provisions laid down in the Prospectus and shall abide by all the rules and regulations which the University authorities may prescribe for the students. I solemnly declare that neither I have been convicted by any court of law in any case nor there is any sub-judiciary proceeding against me.

Signature of Applicant

III.BY PARENT OR GUARDIAN

I certify that my son/daughter/ward makes this application with my knowledge and consent, and that I hold myself responsible for his/her conduct.

Signature of Parent/Guardian

Additional documents, required under the following categories/circumstance, if applicable

Category N / Category Q,P / Category O / Examinations Passed out of Punjab / Category X,Z
Father’s degree of BSc Engg. & PEC Registration / Certificate by Divisional Commissioner / Father’s degree of MSc/BSc Engg. / Form F-III with electoral list, father’s domicile & ID card
OR Form F-II
(as the case may be) / Form F-VIII and
Attested Copy of Residence Visa

List of documents attached with the

Application (to be filled in by the Applicant)

  1. Photocopy of SSC Certificate No. 3421
  2. Photocopy of HSSC DMC No. 0421
  3. Domicile Certificate No. CKW/543
  4. Entry Test Result
  5. ------
  6. ------
  7. ------
  8. ------
  9. ------
  10. ------
  11. ------
  12. ------