Registration/Tracking No.

QUAID-I-AZAM UNIVERSITY
Admission Data Summary Sheet For Masters Programme Fall-2017

Nationality Domicile PLEASE ENCIRCLE THE PROVINCE CODE

AJK AZAD JAMMU & KASHMIR
City Town/Tehsil BLCH BALOCHISTAN
FATA FED. ADMINS. TRIBAL AREA
District State/Province KPK KHYBER PAKHTUNKHWA PHOTO
PNJB PUNJAB
SNDH (R) SINDH (RURAL)
SNDH (U) SINDH (URBAN)

NOTE: ALL THE COLUMNS GIVEN BELOW ARE TO BE FILLED IN, INCOMPLETE FORM
WILL NOT BE ENTERTAINED
APPLICANT'S NAME (IN BLOCK LETTER)

FATHER'S NAME (IN BLOCK LETTER)

COMPUTERIZED NATIONAL IDENTITY CARD #

DATE OF BIRTH SEX BLOOD GROUP Please Mention Passport No. in case of Foreign National
M F

COMPLETE POSTAL ADDRESS WITH TEHSIL & DISTRICT ( IN BLOCK LETTERS)

Email: Cell:
ACADEMIC RECORD
F.Sc./F.A/I.Com/ A Level etc. B.Sc./B.A/B.Com/BBA/ BCS etc. Hafiz-i- NAME OF GRADUATION DEGREE PASSED:
with Equivalence Certificate with Equivalence Certificate Quran
Major Subjects studied in Graduation Degree
Total Marks Marks Obtained Total Marks Marks Obtained Yes/No

DISCIPLINES/SUBJECTS CODE LIST

Faculty of Social Sciences
CODE DISCIPLINE
ARC Archeology
ANT Anthropology
DSS Defence & Strategic Studies
GS Gender Studies
HIS History
PKS Pakistan Studies
PSY Psychology
SOC Sociology
DISCIPLINE PRIORITIES
Applicants are advised to fill/opt the priorities carefully because once filled, the subject priorities shall not be changed in any case. An applicant
can opt for a maximum of three priorities of subjects either on regular OR on self-finance and/or both basis in the same subjects (3 R + 3 S= 6).
Use separate box for each Discipline. Write either Regular (R) or Self Finance (S) against each Priority of the Discipline you want to apply.

Priority Subject Code Regular/Self Finance Priority Subject Code Regular/Self Finance
1st 4th
2nd 5th
3rd 6th
Have you ever been a student of Quaid-i-Azam University?............. If yes give details: Programme . Year .. Specify the reasons for
leaving (seized/cancelled/others)...
Are you presently enrolled in a college/university/institution? If yes, then mention Programme/Discipline: ...

Signature of the Candidate

P.T.O
 DECLARATION/UNDERTAKING BY THE CANDIDATE

I solemnly affirm and declare: -

(a) That the information given in this Admission form is correct to the best of my knowledge, belief and if anything is found
incorrect/misleading or concealment of facts, Quaid-i-Azam University (QAU), shall have the right to refuse/cancel my admission and
expel me from the University.
(b) That I promise to: -
(i) Abide by the Statutes, Rules and Regulations etc. framed by the QAU and any other instructions issued from time to time.
(ii) Maintain good behaviour during studies and while being on Campus.
(iii) Work diligently and maintain dignity and prestige of QAU both ON and OFF the Campus.

(c) That I under take to be a full-time regular student of the QAU and shall not join any other programme of study or accept any employment
for the duration of the programmes registered. (In-service candidates are required to produce NOC/ Study Leave duly sanctioned by the
Employers/Authority).
(d) That I further undertake that I shall not claim hostel accommodation as a matter of right if admitted to the QAU.
(e) That I further undertake that I shall not claim hostel accommodation as and when required by QAU.
(f) That I hereby declare as a binding on me that as long as I am a student I shall abide by all the Statues, Rules and Regulations, inforce at
the time of joining the QAU and framed subsequently. I shall submit myself to the discipline of the QAU authorities as exercised through
its various Committees and Officers.
(g) That I shall not claim/apply for any financial support/fee waivers/exemption once I am admitted to the QAU on Self-Finance basis.
(h) That the requisite documents i.e. Marks Sheets/Certificates etc. as submitted by me are genuine and in case found fake/bogus/tampered,
the QAU shall have a right to refuse/cancel my admission and expel me from the University OR initiate Legal Action against me.
(I) That I will produce/submit originals of requisite documents i.e. Marks Sheets/Certificates etc. at the time of interview for admission.

Signature of the Candidate

DECLARATION/UNDERTAKING BY FATHER/GUARDIAN (Applicable for Master's Programme):

I am responsible for the behaviour and conduct of my son/daughter/ward, during his/her stay at the QAU and shall fully cooperate with the QAU
Authorities in this regard as/when/how required by the QAU. I am enclosing a signed copy of my CNIC as proof of my undertaking.

Signature of the Parent/Guardian

REQUISITE ATTESTED DOCUMENTS TO BE ATTACHED WITH ADMISSION FORM

S# Requisite Attested Documents No. of copies
1. Detailed Marks Certificate of SSC (Matriculation) OR its equivalent Examination. 01
2. Detailed Marks Certificate of HSSC (Intermediate) OR its equivalent Examination. 01
3. Detailed Marks Certificate of Graduation etc. OR its equivalent Examination. 01
4. Domicile Certificate of the candidate OR of father/mother if the applicant is female and her name is included in it. 01
5. Computerized National Identity Card of the applicant 01
6. Computerized National Identity Card of the applicant's Father/Parents/Guardian 01
7. Character Certificate from the institution last attended. 01
8. Hifz-e-Quran Certificate (if applicable). 01
9. Equivalence Certificate and Conversion of the Grades into Marks from Inter Board Committee of Chairman (IBCC) for 01
Matric and Intermediate Levels and from the HEC for Graduation Levels in case of qualifications OR Certificates from
Foreign Institutes.
10. (i). Foreign Citizenship OR Passport for Foreign National and Dual Nationals (having Pakistani and some other 01
nationality) Refugees (status recognized by Govt. of Pakistan) (for Foreigner Reserve Seats)
11. Original HBL/Askari Bank Deposit Slip of Rs. 2500/- (For Admission Form of QAU) 01
12. Any other supporting/relevant document 01

Signature of the Candidate

 UNDERTAKING FOR MASTER'S PROGRAMME

In response to the advertisement for admission to Master's Programme (Fall Semester-2017)

I,_________________________________________S/O, D/O___________________________________ intend to get admission in this
University. Unfortunately, the following encircled requisite document (s) is/ are missing while submitting the admission form:

S# Documents
1. Detailed Marks Certificate of SSC (Matriculation) OR its equivalent Examination.
2. Detailed Marks Certificate of HSSC (Intermediate) OR its equivalent Examination.
3. Detailed Marks Certificate of Graduation etc. OR its equivalent Examination.
4. Domicile Certificate of the candidate OR of father/mother if the applicant is female and her name is included in it.
5. Computerized National Identity Card of the applicant
6. Computerized National Identity Card of the applicant's Father/Parents/Guardian
7. Character Certificate from the institution last attended.
8. Hifz-e-Quran Certificate (if applicable).
9. Equivalence Certificate and Conversion of the Grades into Marks from Inter Board Committee of Chairman (IBCC) for
Matric and Intermediate Levels and from the HEC for Graduation Levels in case of qualifications OR Certificates from
Foreign Institutes.
10. (i). Foreign Citizenship OR Passport for Foreign National and Dual Nationals (having Pakistani and some other
nationality) Refugees (status recognized by Govt. of Pakistan) (for Foreigner Reserve Seats)
11. Original HBL/Askari Bank Deposit Slip of Rs. 2500/- (For Admission Form of QAU)
12. Any other supporting/relevant document

1. I, undertake to submit the above mentioned missing documents to the Admission Section (QAU) on or before 24-08-2017 during the
office hours positively.
2. I understand that I will be admitted subject to the submission of the above mentioned encircled document (s).
3. I will be considered for admission to Master's Programme only if I fulfill the eligibility criteria and merit.
4. I will not file a civil suit in any court of law or challenge the admission already selected students in case of non-submission of the
requisite documents during the stipulated time period.
5. I will not claim admission as a matter of right without submission of the above mentioned encircled document (s).
6. I understand that University has the right to cancel or refuse my admission without assigning any reason.
7. In case of incorrect/misleading information or concealment of facts, the University will have the right to refuse/cancel the admission and
expel the student from the University.
8. That the requisite documents i.e. Marks Sheets/Certificates etc. as submitted by me are genuine and in case found fake/bogus/tampered,
the QAU shall have a right to refuse/cancel my admission and expel me from the University OR initiate Legal Action against me.
9. That I will produce/submit originals of requisite documents i.e. Marks Sheets/Certificates etc. at the time of interview for admission.
10. I have paid Left Over/Missing documents (late submission processing fee) amounting to Rs.1000/- vide HBL/ Askari Bank Challan
No._________________ Dated____________201 (Copy attached).

Dated: _________/201 Signature_____________________________

Name___________________________________________________

Father's Name____________________________________________

Tracking ID/Registration # of QAU:F17-______________

 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicants Name Applicants Name

Fathers Name Fathers Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,500/- Prospectus Charges RS: 2,500/-

Applicants Sig. Cashier Officer Applicants Sig. Cashier Officer

STUDENTs COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicants Name Applicants Name

Fathers Name Fathers Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,500/- Prospectus Charges RS: 2,500/-

Applicants Sig. Cashier Officer Applicants Sig. Cashier Officer

 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs. 2515/- per Transaction to be Paid by the Depositor Note: Rs. 2515/- per Transaction to be Paid by the Depositor

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicants Name Applicants Name

Fathers Name Fathers Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,515/- Prospectus Charges RS: 2,515/-

Applicants Sig. Cashier Officer Applicants Sig. Cashier Officer

STUDENTs COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs. 2515/- per Transaction to be Paid by the Depositor Note: Rs. 2515/- per Transaction to be Paid by the Depositor

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicants Name Applicants Name

Fathers Name Fathers Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Prospectus Charges RS: 2,515/- Prospectus Charges RS: 2,515/-

Applicants Sig. Cashier Officer Applicants Sig. Cashier Officer

 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicants Name Applicants Name

Fathers Name Fathers Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Processing Fee for Left Processing Fee for Left
Over Documents RS: 1,000/- Over Documents RS: 1,000/-

Applicants Sig. Cashier Officer Applicants Sig. Cashier Officer

STUDENTs COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicants Name Applicants Name

Fathers Name Fathers Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Processing Fee for Left Processing Fee for Left

Over Documents RS: 1,000/- Over Documents RS: 1,000/-

Applicants Sig. Cashier Officer Applicants Sig. Cashier Officer

 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs. 1,015/-per Transaction to be Paid by the Depositor Note: Rs. 1,015/-per Transaction to be Paid by the Depositor

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicants Name Applicants Name

Fathers Name Fathers Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Processing Fee for Left Processing Fee for Left
Over Documents RS: 1,015/- Over Documents RS: 1,015/-

Applicants Sig. Cashier Officer Applicants Sig. Cashier Officer

STUDENTs COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs. 1,015/-per Transaction to be Paid by the Depositor Note: Rs. 1,015/-per Transaction to be Paid by the Depositor

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return QAU Copy to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicants Name Applicants Name

Fathers Name Fathers Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Processing Fee for Left Processing Fee for Left

Over Documents RS: 1,015/- Over Documents RS: 1,015/-

Applicants Sig. Cashier Officer Applicants Sig. Cashier Officer