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DIRECTORATE OF DISTANCE
EDUCATION
Please Tick
Diploma:
Department/Program:
Male
Female
Address______________________________________________________________________________
______________________________________________________________________________
Cell No (Applicant).________________ Tel. No.(Res) _____________
Email____________________
Academic Record
Examination
Year
Board/
University
Roll #.
Marks Obtained/
Maximum Marks
Division/
Grade
Major Subjects
Matric/O Level or
Equivalent
F.A./F.Sc/I.Com/ DBA/
A Level or Equivalent
B.A./B.Sc/B.Com./BBA
or Equivalent
Others
Distinctions:
1. Hifz-e-Quran
(please tick)
2. ___________________________________
3. ___________________________________
Co-Curricular
1. ______________________________
2. ______________________________
3. ______________________________
IMPORTANT INSTRUCTIONS
1.
2.
3.
4.
5.
6.
The candidate is advised to select the subject of his/her choice for admission very carefully. If a candidate is
offered admission and has paid the fee/dues, then the fee/dues once paid will neither be refunded nor transferred in
any case.
Bank Receipt/Challan No.___________ of Rs. 800/- Dated__________________ (copy attached)
7.
(to be deposited in A/C No. 12717900618401Dept. Charges of Distance Education in HBL, B.Z. University, Multan)
A/C No. 209252356 Dept. Charges of Distance Education UBL, B.Z. University, Multan
UNDERTAKING
1.
2.
3.
I shall not indulge in politics as long as I remain a student of the University. I further undertake that I will not challenge
the finding/decision of the Head of the Institution regarding cancellation of my admission at any stage whatsoever in
any Court, Tribunal, Authority of or Forum other than the Supreme Court of Pakistan.
I further undertake that I shall not claim hostel accommodation being a student of Distance Education Program.
I hereby certify that I have myself filled in this form and the statements made herein are correct.
_______________________________
___________________________________
Reserved Seat
ADMITTED
Sport Seat
NOT ADMITTED
DIRECTOR