COMSATS Institute of Information Technology Virtual Campus

Application Form for Admission

Please affix one passport size photograph here & Bring One for NTS Test Slip SECTION ONE: Candidate Information Name of Applicant: Father's Name:

Date Of Birth: No./'B' Form No. : Gender: Domicile:

Nationality: NIC Type:

Program Choices:
First Choice: ______________ Second Choice: __________ Third Choice: ____________

SECTION TWO (A): Personal Detail

Current Mailing Address:

City:

Telephone Number:

Permanent Mailing Address:

City:

Telephone Number:

SECTION TWO (B): Education Detail

Certificate/Degree Major Subjects Year Board/University Marks Obtained Maximum Marks

SECTION TWO (C): NTS Result (If test already given)

Test Center Test Date Roll No. Marks Obtained Maximum Marks

SECTION TWO (D): NTS Registration (If Registered for NTS in Some other Center)
NTS Center Name NTS Roll No

SECTION FOUR: Undertaking

I, Mr. / Ms. ___________________________________________ Son / Daughter of _________________________________ hereby solemnly declare that the information provided on this form is true and correct to the best of my knowledge. I have read and understood all the instructions provided in the current prospectus and agree to abide by them. I further undertake that I have sufficient financial resources required for the program of study at COMSATS Institute of Information Technology. I also solemnly affirm, declare and undertake that: a. I shall abide by the rules and regulations enforced at CIIT at present and those which may be enforced at any time in the future. b. I shall conform strictly to the code of conduct for the students of CIIT. c. I shall at all times should respectful behavior towards management, faculty and my fellow students.

d. I shall not, through my act, speech or gesture, incite any feelings, which are derogatory to any sect, ethnic group, caste, religion, creed, sex, or place of origin. e. I shall not indulge in any political activity, including unionism or political groupings. f. I shall protect and preserve the property of CIIT at all times and shall make all out efforts to prevent others from causing any damage or destruction to the Institutes property. g. I shall fully abide by the decisions of teachers, various discipline committees constituted for the purpose of ensuring and enforcing discipline and good order in the institute and of other authorities. h. I undertake to pay fees and other charges regularly by the due date, failing which I would be liable to pay late fees. j. If I am found involved in any unlawful activity in contravention of the above terms and conditions at any stage during my stay at CIIT, the institute shall have the right to cancel my admission without notice.

Signature of Applicant -------------------------------------------Signature of parent/Guardian-----------------------------------------Date ----------------------

Check List
1. Printed copy of Admission form 2. Paid Challan Form or Demand Draft/Pay Order of RKRS 1,000/- in favor of "CIIT Virtual Campus, Islamabad" 3. Four recently taken (3 cm x 2 cm) color photographs 4. Two attested Copies of CNIC or Form-B issued by NADRA (National Database Registration Authority) 5. Two attested copies of all academic certificates/ degrees/ equivalent certificates. 6. Hope Certificate/Affidavit (To be notarized on Rs. 20/- Stamp Paper) mandatory for result awaiting applicants only. 7. Undertaking (To be notarized on Rs. 20/- Stamp Paper) mandatory for all applicants. 8. Any other relevant document(s).

----------------------------------------------------------------------------------------------------------------------------For Admission office use only

Admission of Mr./Ms. _____________________________________ in program ____________________ is Provisionally Approved: Not approved: ____________________________ In charge Admissions/ Convenor Admissions Committee Date:_____________________