Form No. Nationality Domicile City Town/Tehsil District State/Province
Form No. Nationality Domicile City Town/Tehsil District State/Province
Form No. Nationality Domicile City Town/Tehsil District State/Province
POSTAL ADDRESS
Priority Subject Code Regular/Self Finance Priority Subject Code Regular/Self Finance
1st 4th
2nd 5th
3rd 6th
(a) That the information given in the Admission Form is correct to the best of my knowledge, belief and if anything is found
incorrect/misleading or concealment of facts, Quaid-i-Azam University (QAU), shall have the right to refuse/cancel my admission and
expel me from the University/
(b) That I promise to: -
(i) Abide by the Statutes, Rules and Regulations etc. framed by the QAU and any other instructions issued from time to time.
(ii) Maintain good behaviour during studies and while being on Campus.
(iii) Work diligently and maintain dignity and prestige of QAU both ON and OFF the Campus.
(c) That I undertake to be a full-time regular student of the QAU and shall not join any other programme of study or accept any employment
for the duration of the programmes registered. (In-service candidates are required to produce NOC/Study Leave duly sanctioned by the
Employers/Authority).
(d) That I further undertake that I shall not claim hostel accommodation as a matter of right if admitted to the QAU.
(e) That I further undertake that I shall not claim hostel accommodation as and when required by QAU.
(f) That I hereby declare as a binding on me that as long as I am a student I shall abide by all the Statutes, Rules and Regulations, inforce at
the time of joining the QAU and framed subsequently. I shall submit myself to the discipline of the QAU authorities as exercised through
its various Committees and Officers.
(g) That I shall not claim/apply for any financial support/fee waivers/exemption once I am admitted to the QAU on Self Finance basis.
(h) That the requisite documents i.e. Marks Sheets/Certificates etc. as submitted by me are genuine and in case found fake/bogus/ tampered,
the QAU shall have a right to refuse/cancel my admission and expel me from the University OR initiate Legal Action against me.
(I) That I will produce/submit originals of requisite documents i.e. Marks Sheets/Certificates etc. at the time of interview for admission.
In response to the advertisement for admission to Undergraduate Program (Fall Semester 2017) I, ____________________________
S/O, D/O__________________________________ intend to get admission in this University. Unfortunately, the following encircled
requisite document (s) is/ are missing while submitting the admission form:
S# Documents
1 Detail Marks Certificate of SSC (Matriculation) Examination or equivalent.
2 Detail Marks Certificate of HSSC (Intermediate) Examination or equivalent.
3 CNIC OR Form B in case of under 18-years of age.
4 CNIC of Father/Parents/Guardian.
Domicile Certificate of candidate OR of father/mother if the applicant is under 18-years of age and
5 his/her name is included in it.
6 Character Certificate from the institution last attended.
Equivalence Certificate and conversion of the grades, into marks from Inter Board Committee of
7 Chairman (BCC) for Matric and Intermediate levels in case of qualifications OR certificate from foreign
institutes
Sports Certificates i.e. District/Province/National/International level issued by the concerned Authorities
8 (for applicants of Sports Reserve Seats)
9 Disability Certificate issued by the District Assessment Board (for applicants of Disabled Reserve Seats)
10 Minority Certificate issued by the Principal of last attended institute (for applicants of Minority Reserve Seats)
11 Army Personal Service Card OR Pension Book of Parent (for applicants of Children of Army Personal)
Foreign Citizenship OR Passport for Foreign National and Dual Nationals (having Pakistani and some other
12 nationality) Refugees (status recognized by Govt. of Pakistan) (for Foreigner Reserve Seats)
Letter of Registration from Pharmacy Council of Pakistan duly verified by the Chairman concerned of the
13 (parents) (For the Children of Registered Pharmacists on Reserve Seats in Pharm-D program only)
(i). Proof from Health Department/Drug Regularity Authority of Pakistan duly verified by the
Chairman concerned. (ii). Donation in shape of cash/equipment/chemical worth at least Rs.100,000/-
14 (For the Children of Proprietors, partners and directors of Pharmaceutical industry on Reserve Seats in
Pharm-D program only)
15 Original HBP/Askari Bank Deposit Slip of Rs.2500/- (For Admission Form of QAU)
16 Any other supporting/relevant document
1. I, undertake to submit the above mentioned missing documents to the Admission Section (QAU) on or before 03-10-2017 during the
office hours positively.
2. I understand that I will be admitted subject to the submission of the above mentioned encircled document (s).
3. I will be considered for admission to Undergraduate Programme only if I fulfill the eligibility criteria and merit.
4. I will not file a civil suit in any court of law or challenge the admission already selected students in case of non-submission of the
requisite documents during the stipulated time period.
5. I will not claim admission as a matter of right without submission of the above mentioned encircled document (s).
6. I understand that University has the right to cancel or refuse my admission without assigning any reason.
7. In case of incorrect/misleading information or concealment of facts, the University will have the right to refuse/cancel the admission and
expel the student from the University.
8. I have paid missing documents late submission processing fee amounting to Rs.1000/- vide HBL/Askari Bank Challan
No._________________ Dated____________2017 (Copy attached).
Name___________________________________________________
Father's Name____________________________________________
Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.
Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.
Note: Rs. 2515/- per Transaction to be Paid by the Depositor Note: Rs. 2515/- per Transaction to be Paid by the Depositor
Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.
Note: Rs. 2515/- per Transaction to be Paid by the Depositor Note: Rs. 2515/- per Transaction to be Paid by the Depositor
Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.
Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 4. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 5. The Bank Must Return QAU Copy to the Candidate.
6. Deposit Slip will not accepted without Candidates Required Documents.
Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 4. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 5. The Bank Must Return QAU Copy to the Candidate.
6. Deposit Slip will not accepted without Candidates Required Documents.
Note: Rs. 1,015/-per Transaction to be Paid by the Depositor Note: Rs. 1,015/-per Transaction to be Paid by the Depositor
Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 4. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 5. The Bank Must Return QAU Copy to the Candidate.
6. Deposit Slip will not accepted without Candidates Required Documents.
Note: Rs. 1,015/-per Transaction to be Paid by the Depositor Note: Rs. 1,015/-per Transaction to be Paid by the Depositor
Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 4. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 5. The Bank Must Return QAU Copy to the Candidate.
6. Deposit Slip will not accepted without Candidates Required Documents.