PCSIR
PCSIR
Sir,
I passed the Examination of Bachelors of ____________________________ with Division _____________
from this University in the year ______________ (detailed given blow in col.7) and requested that the
Degree be issued to me.
4. ADDRESS: ______________________________________________________________
_________________________________________________________________________
5. Contact No.______________________________ Email: ___________________________________________
6. NUMBER/DATE OF PROVISIONAL CERTIFICATE (Attached Photocopy) ______________________
7. EXAMINATIONS PASSED:
EXAMINATIONS SEAT NO. YEAR OF PASSING DIVISION
Industrial Training
First Term
Second Term
8. AFFIRMATION:
I hereby solemnly affirm that I have not yet received my DEGREE and that the information
given above is correct to the best of my knowledge.
Yours obediently,
SIGNATURE OF APPLICANT
________________________
Director of the Institute
Signature with Stamp
DEGREE RECEIVED
______________________________ ______________________
Checked by Asstt. COE (Degree) Signature of Applicant
Date: _________________
Verified by:
Asstt. /Deputy Controller of Examinations
Date: _________________
INSTRUCTIONS:
1. Please deposit prescribed fee as per following rates in bank authorized by the university before submission of this form.
Normal: PKR.2300/-
- Original
Urgent: PKR.4600/-
Normal: PKR.6900/-
- Duplicate
Urgent: PKR.13800/-
1. That I shall prove myself worthy of the degree which has been awarded to me by the NED University of
Engineering & Technology Karachi during the rest of my life.
2. That through my acts and contributions, I shall prove myself useful to the society in particular and to the
humanity in general.
3. That I shall not indulge in any act or get involved in any conversation on any platform which may result in
defaming of Pakistan or its values.
4. That I shall not indulge in any act or get involve in any conversation on any platform which may result in
defaming NED University or its present and past Vice Chancellors, any Faculty Member and/or Officer of the
NED University.
5. That in case of violating above undertaking, the NED University may initiate action for cancellation of my
degree without any further notice.
Place: _________________
Date: _________________ ___________________________
Signature of the Graduate/ Master
In the presence of:
WITNESS NO.1_________________________________ WITNESS NO.2 _________________________________
Signature with Official Seal Signature with Official Seal
Name and Address: _______________________________ Name and Address: _______________________________
_______________________________________________ _______________________________________________
_______________________________________________ _______________________________________________
NOTE: Witnesses must be Government Officer of Grade 17 and above.
Declaration by Parent/Guardian
I, ___________________________________________________________________________ Muslim, adult, resident of
_________________________________________________________________________________________________,
religion Islam do hereby state on solemn affirmation that I bind myself responsible to the declaration signed by my
son/daughter/ward submitted as above to the University by him/her.
________________________
Signature of Parent/Guardian
of the Candidate
Solemnly affirmed and accepted before me this _______ day of __________ 20_____ by___________________________
________________________who is identified by ____________________________ who is ______________________.
__________________________
Seal & Date: ____________________ Signature of Oath Commissioner