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.