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					                         GOVERNMENT OF PAKISTAN


                                                                                              (8 recent
                                                                                             photographs
               APPLICATION FORM FOR ADMISSION IN PAKISTANI                                  Passport size)
                        EDUCATIONAL INSTITUTIONS
                       (FOR FOREIGN STUDENTS ONLY)


       IMPORTANT:

       1.     Please submit six copies of this form.

       2.     Please attach health certificate from a physician indicating
              that you are not suffering from any disease and are fit for
              study abroad.

       3.     To be filled in candidate’s own handwriting and in CAPITAL letters.

       A.     PERSONAL INFORMATION:

1.    Name                                                                          ALIAS


2.    FATHER’S/SPOUSE NAME

3.    NATIONALITY
4.    SEX (Male/Female)

5.    DATE & PLACE OF BIRTH

6.    PASSPORT NO.
7.    DATE & PLACE OF ISSUE OF
      PASSPORT
8.    VALIDITY OF PASSPORT (DATE
      OF EXPIRY)
9.    TYPE OF PASSPORT

10.   COMPLETE ADDRESS IN HOME
      COUNTRY AND TELEPHONE
      NUMBER


11.   MARITAL STATUS (If married, please
      indicate Name/Nationality of spouse).
                                                                 2


12.    IS ANY FAMILY MEMBER                                  YES/NO (If YES, then please give details)
       ACCOMPANYING
S. No. Name                                                  Relationship with the student     Nationality/Passport No.




            B. Academic record (educational details): (Please attach copies of your certificates/Degrees etc.

Name of the Institution         Location            Major field of      Degree/ Diploma      Years attended
                                                       Study
                                                                                             From         To




                    C.                DETAILS OF STUDY IN PAKISTAN:

1.        Name & Complete address of
          Institution where Admission
          is required.



2.        Course in which admission is required

3.        Duration of course

4.        Date of start and                                  From:                           To:
          completion

5.        Mode of Financing (Scholarship/Self –Financing).

6.        Accommodation (Hostel/Private).

7.        Residential Address in Pakistan


8.        Date of admission in Institution and
          Academic Session
9.        Date of expiry of present course of
          study.
                                                  3


      D.      IF STUDENT IS ALREADY IN PAKISTAN THEN PROVIDE THE FOLLOWING
              INFORMATION/DETAILS.

1.   Pakistani visa No.& Date of issue:
     (Please attach Photocopy).
2.   Visa issued by:

3.   Type of visa.

4.   Purpose of visit-mentioned in Pakistani
     visa.


5.   Validity of visa (Please indicate
     duration of stay mentioned in the Visa).

6.   Date of expiry of visa (the date on
     which you Stay period according to you
     visa is expiring)
7.   Police Registration No.& Date
     (Please attach photo-copy).
8.   Place of Registration.


9.   Validity of Residential Permit
     (Please indicate the expiry date of
     Residential Permit and not of
     application depositing slip).



              E.        MISCELLANEOUS:


1.   Details of previous visits to Pakistan (if
     any):

2.   Purpose of previous visit:

3.   Duration of previous visit.


4.   Address where previously stayed in
     Pakistan.
                                                             4


 5.      Place of disembarkation:

 6.      No. & Date of NOC issued by the Home
         Country for studying in the concerned
         institution in Pakistan please attach
         attested photo-copy):
 7.      Name and Address with Phone No. of
         persons to be contacted in emergency in
         Pakistan                                1.___________________


                                                          2.___________________


                                                          3.___________________



 8.      Name of Address with Phone No. of
         person to be contacted in emergency (in
         your home country)


I undertake that information given in this form is correct and nothing has been concealed. I also undertake
not to participate in any political activity or demonstration in or outside the institution premises.

I hereby also undertake to inform the concerned authorities/administration of the institutions about any
change of address immediately.


                                                       Name/Signature of the student_________________
                                                                           _________________
                                                                     Date _______________

         The above information is found correct from the record of the institution.

                                                       Name/Signature __________________________

                                                       Designation   ____________________________

                                                       University/College/Institution ________________

                                                       Date_____________________________________
         PPI-152(2001)M/O Education-15-3-2001-15000.

				
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