Rs: 500/-

KHYBER PAKHTUNKHWA AGRICULTURAL UNIVERSITY PESHAWAR

Application Form for Admission to Postgraduate Degree Programs

Serial No…………

GRE Score……...

Note: Candidates applying for admission to M.Phil/Ph.D. shall also submit a tentative

title and research plan to be pursued by them during their studies for deciding

their admission. Separate sheets may be attached for this purpose.

Session

  1. Degree to which admission is sought

MA MBA M.Sc M.Sc (H) M.Phil MS PhD

  1. Department/ Discipline to which admission is sought……………………………………
  2. Status desired:
  1. Regular Student:
  2. University Employee: Yes No
  3. Govt. Employee (on leave) NOC Attach
  4. Employee of other Statutory Organization (on leave)
  1. Name of applicant (Block Letters)………………………………………………………………………………………………..
  2. Father name (Block Letters)……………………………………………………………………………………………………...
  3. Date of birth……………………………………..Registration No (AUP)………………………………………………………..
  4. CNIC No…………………………………………………………………………………………………………………………….
  5. Domicile: District…………………………Province………………………….Country………………………………………….
  6. Address for correspondence……………………………………………………………………………………………………….

...... Ph:………………………......

  1. Permanent Address…………………………………………………………………………………………………………………

………………………………………………………………………………...Ph:…………………………………………………

  1. Migration Certificate No………………………………………………...... Yes No
  2. Experience (if any)………………………………………………………………………………………………………………….

Employer / Job Description / Job / NOC
Attached
From / To
Yes / No
  1. Number of publications (if any)______(Attach list)
  2. Academic record (Attach attested copies of certificates and Degreeswith DMC’s). Verified documents will be needed within one month of admission.

Certificate/ Degree / Institutions / R. No. / Year of Passing / Marks / Major
Subjects
Obtained/Total Or CGPA / Div/
Grade / %
SSC
FA/F.Sc
BA/B.Sc
BBA/BCS/BIT/B.Sc (H)Agric/A.H/Biotech
M.Sc./MA
MCS/MIT/M.Sc (H) Agric/A.H. or M.Phil
Other (if any)
  1. Attested copies of the following documents must be annexed the application form for admission:
  2. Migration Certificate in case of those Applicants who are graduates of University other than Khyber Pakhtunkhwa Agricultural University, Peshawar.
  3. Character Certificate duly signed by the Head of the institution last attended.
  4. Permission of the Head of the institution/Government department (for employees only)
  5. CNIC
  6. Domicile Certificate.
  7. Medical Fitness Certificate from MS of Govt.Hospital.
  8. Nomination letter from respective Govt. /Organization against reserved seats.
  1. Surety Bonds (only after selection for admission)

ACKNOLEDGEMENT

Received form from Mrs. Ms. ______S/D/O ______

On ______by ______

______

Receiver Signature

(For official use only)

Recommendations of the Admission Committee. Recommended / Not recommended

Name DesignationSignatureOfficial Stamp

Senior Teacher1……………………………….... ………………….. ………………………..

Senior Teacher2………………………… ……… ………………….. ………………………...

Chairman of Deptt. ……………………………… ………………………..

Dean of the Faculty ……………………………… ………………………..

Director Advanced Studies and Research ………………………………. Admitted/ Not admitted

I solemnly declare that:

  1. The particulars given in this form are correct to the best of my knowledge and belief and that I have not concealed any facts.
  1. I have never been convicted by a court of law nor has a case ever been registered against me.
  1. I shall not indulge in any activity which is subversive or prejudicial to the interest of the University, throughout the period of my study.
  1. If anything is found contrary to above declaration against me. The University shall have the right to cancel my admission.
  1. I am not enrolled in any Degree Program in any University.
  1. I will pay the capitation fee, if due.
  1. I shall give facts of employment (if any)

Concealment of facts will lead to cancellation of my admission at any stage, if I admitted to the university on basis of false statements.

  1. I understand and agree that if admitted, deposited fee etc and subsequently leave the University, fee etc shall not be refunded to me under my circumstances.
  1. I have read these instructions/ rules and regulations and agree to abide by and all other rules and regulations of the University framed from time to time.

Date ____________

Signature of applicant