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Preston Admission Form

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Application for Admission

Through Net (# Will


be allotted on receipt
of application)

Application #:

Campus:

Note: This is online version of Form and please use Tab key of your keyboard to move to next
column.
PERSONAL DATA
Mr. /Ms. /Mrs.
Father Name
Date of Birth
National Identity Card No.
Passport # for Foreign
Students
Mailing Address

E-mail Address
Permanent Address

In case of emergency
contact:
Address

Nationality

Name

Tel:

Tel:

Tel:

Specialization
Evening/Weekend

PROFESSIONAL QUALIFICATIONS
Qualification Institution Attended

EDUCATIONAL QUALIFICATIONS
Degree/Diploma Institution Attended
/ Certificate

COURSE DATA
Program

Applied for
Session
Morning
(Mark X)

Distance
Learning

Board/University

Grade/
Division

Year of
Passing

Grade/
Division

Course Duration

Year of
Passing

WORK EXPERIENCE
Job Title
Organization

Address

Duration

From
To
From
To
From
To

HONOURS/MEDALS/POSITIONS/SCHOLARSHIPS
Achievements
Institution/Occasion

Reason for Leaving

Year

EXTRA CURRICULAR ACTIVITIES

FINANCIAL ASSISTANCE
Sponsor for your Education (Mark X)
Parents
Guardian
Self

Others
(specify)

Monthly Income of Sponsor (Mark X)


Less than
Rs. 10,000Above 20,000
Rs.10,000
20,000
Will you need financial assistance from Preston
University as a needy student? (Mark X)
Yes

No

DECLARATION BY APPLICANT
DECLARATION
I have read the Prospectus carefully and fully aware of the details of the degree
programs of Preston University, Pakistan. I undertake to pay fees and all other dues
regularly to Preston University, Pakistan without delay and I undertake to abide by the
rules and regulations of Preston University, Pakistan.
Signature of Applicant

Date

DECLARATION BY PARENT/GUARDIAN
DECLARATION
This is to certify that my son/daughter ward named is applying for Preston University
degree program with my permission and with my full knowledge of the Programs and I
undertake to arrange payment of fees and all other dues regularly to Preston University
regularly and without delay. I further undertake to ensure that my son/daughter/ward does not
get involved in politics and that he/she abides by the rules and regulations of Preston
University, Pakistan.

Name of
Parent/Guardian

Address

NIC
#
Tel:

- -

Signature of Parent/Guardian/

Date

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