SUPPLEMENTARY FORM

All Applicants: Please complete all sections and print clearly. Sign, date and submit this form to Undergraduate Admissions and Recruitment, 350 Victoria Street, Toronto, Ontario, M5B 2K3. Please submit this form immediately as the information provided in is essential in the review of your application. One Supplementary form is required regardless of the number of programs applied to. Applicants applying for Readmission: When applying for Readmission to a Ryerson program, ensure to complete the Education and Non-Education History, outlining activities since last enrolled at Ryerson. Access Centre: If you have a disability that requires accommodation (e.g. learning disability, chronic medical, physical, psychiatric, etc.), contact the Ryerson Access Centre www.ryerson.ca/studentservices/accesscentre/prospectivestudents regarding submission of related documents. The Access Centre provides accommodation and support for applicants and students with disabilities. Personal/Confidential Information: If you are submitting highly personal or confidential information, we recommend that you submit it in a separate letter and identify it as such.

DOCUMENT SUBMISSION INSTRUCTIONS: Officially certified academic transcripts documenting your secondary and post secondary studies and any other applicable supporting document(s) must be submitted to Undergraduate Admissions and Recruitment at Ryerson University. Ryerson will not send a reminder requesting officially certified academic transcripts and documents. If you are a current/previous Ryerson degree or diploma program student who is applying for readmission, reinstatement or to enter or transfer to another program, re-submission of transcripts previously submitted and already on file at Ryerson is not required. If you are currently taking courses at an institution other than Ryerson you must submit interim transcripts (if applicable), followed by official transcripts documenting final grades achieved. If your transcripts and/or other documents show a name other than the one under which you applied, submit proof of name change, i.e. a marriage certificate, notarized statement, or other applicable legal documents.

It is your responsibility to comply with all Ryerson University admission policies, procedures, and deadlines, including those outlined in the Applicants Acknowledgement, Ryerson publications, and the Ryerson website.

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A)
LEGAL SURNAME

PERSONAL INFORMATION
LEGAL FIRST NAME

KHAN
AREA CODE HOME NUMBER AREA CODE BUSINESS NUMBER EXTENSION

MOHAMMAD
AREA CODE CELL PHONE AREA CODE FAX NUMBER

) 00924235728503 (

( )
E-MAIL ADDRESS

) 00923362458415

DATE OF BIRTH MM / DD / YYYY

12/06/1992
B)
PROGRAM(S) APPLIED TO

[email protected]
PROGRAM INFORMATION

COMPUTER ENGINEERING

BUSINESS MANAGEMENT ADVANCED STANDING ONLY MUST INDICATE MAJOR HERE

OUAC NUMBER

RYERSON NUMBER

2013-302541
C) DOCUMENT CHECKLIST

500551924

TERM AND YEAR COMMENCING FALL______________________________ WINTER____________________________ SPRING/SUMMER______________________

Ryerson will not send requests for officially certified academic transcripts or other documents. Unless already on file at Ryerson, it is your responsibility to arrange the submission of your officially certified academic transcripts including promotion / graduation status and supporting documentation at the time of application. Your application will be cancelled if supporting documentation is not received.
TYPE OF TRANSCRIPT SECONDARY SCHOOL TRANSCRIPTS NAME OF INSTITUTION ATTACHED

INTERIM
YES

FINAL
YES

ON FILE AT RYERSON

WILL BE FORWARDED APPROXIMATE DATE

ALREADY FORWARDED APPROXIMATE DATE

AITCHISON COLLEGE
COMSATS INSTITUTE OF IT

20/2/2013
20/2/2013

POST-SECONDARY TRANSCRIPTS
POST-SECONDARY TRANSCRIPTS POST-SECONDARY TRANSCRIPTS

D)

ACADEMIC UPDATE

Please list additional courses you are presently taking or plan to take. This section does not apply if you are in an education system outside of North America where your regular school year and/or your examination results are not available until after June 30 (e.g. A levels or CAPE). If you are planning to attend summer school in order to meet admission requirements you must submit a request please visit www.ryerson.ca/undergraduate/admission/apply/after and follow the links for Summer School Extensions.
NAME OF COURSE, LEVEL & COURSE CODE TYPE (SUMMER, NIGHT, ETC.) LOCATION START AND COMPLETION DATES DATE TRANSCRIPT WILL BE SUBMITTED

1) 2) 3) 4) 5) 6) 7)

E)
NAME RELATIONSHIP

CONTACTS
PHONE NUMBER OTHER PHONE NUMBER ( ( ) ) EXTENSION | |

Please name two people through whom we may reach you and who could verify the information you have provided regarding your academic and non academic background, including any information/circumstances you may have identified on this form. At least one contact should be a family member or friend.
JAMSHED H KHAN
SAHIBDAD KHAN

FATHER
GRANDFATHER

( (

) 00923008490822 ) 009242366509370

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F)

REASONS FOR YOUR CHOICE(S)

Outline the reasons you have decided to apply to the program or programs listed in section B, as well as details and factors relevant to the review of your application. If you are seeking readmission/reinstatement, you may provide a supporting statement in this section outlining how you plan to achieve academic success upon reentering the program. Please include, if applicable, reasons for poor performance at post secondary level. You may attach an additional page if necessary.

My inspiration for engineering came from my father. He has three degrees in engineering and knows the subject very well. We have done many interesting things together in the past, which are the reasons for my fondness of engineering. On one such occasion, he helped me open up a remote control car and explained the working of each part and its importance in the functioning of the car, which I found very exciting. I loved engineering ever since. On more than one occasion, I disassembled several broken remote control cars and used their parts to make a working hybrid car of my own. As I grew up my fascination turned towards robots. To be able to build these things, you need to know about electrical engineering. During my time at school, I learnt some basics, but to comprehend the subject even better, I need the platform and guidance of your university, which ranks amongst the top in Canada.

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G)
YEAR TO YEAR GRADE(S)

ACADEMIC HISTORY
SECONDARY INSTITUTION
ADDRESS OF SCHOOL (CITY, COUNTRY) DIPLOMA AWARDED

Please list all secondary schools attended or currently enrolled in.

AITCHISON COLLEGE, LAHORE

Shahrah-e-Quaid-e-Azam, Lahore, PAKISTAN O LEVEL/ A LEVEL

Please list all post secondary schools attended or currently enrolled in.
YEAR TO YEAR

POST-SECONDARY INSTITUTION

PROGRAM

YEAR/LEVEL

YR TO 2013 YR 2011 YR YR YR YR TO TO TO TO YR YR YR YR

COMSATS INSTITUTE OF IT

COMPUTER ENGINEERING

BCE

H)

NON-ACADEMIC HISTORY
EMPLOYER (IF APPROPRIATE)

Please list all activities from year to year from the beginning of secondary school to the present (e.g. employment, volunteer work, travel, at home, etc.)
YEAR TO YEAR

ACTIVITY

YR 12 YR 10 YR YR YR YR YR

TO TO TO TO TO TO TO

YR 12 YR 10 YR YR YR YR YR

INTERNSHIP

RIAZ BOTTLERS (PEPSI LAHORE)

INTERNSHIP

LUMS UNIVERSITY

I)

DECLARATION

My signature below indicates that all responses are true and accurate and have been prepared entirely by me. No relevant information, academic or otherwise, has been withheld; otherwise, my admission may be revoked and/ or permanently withdrawn from Ryerson (See Ryerson Code of Academic Conduct). I have read the Applicant Acknowledgement and understand the policies and procedures as noted. I have read, acknowledged and understand the Registrars Office Notice of Collection and Use of Personal Information (www.ryerson.ca/undergraduate/admission/downloads/RegistrarsNoticeofCollection.pdf).
APPLICANT'S SIGNATURE: DATE:

10/2/2013

You must sign and date this form. Ryerson University, Undergraduate Admissions and Recruitment, 350 Victoria Street, Toronto, Ontario, Canada, M5B 2K3.
Member: Council of Ontario Universities (COU), Association of Universities and Colleges of Canada (AUCC), Association of Commonwealth Universities (ACU). Published June.9.11

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