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Lahore University of Management Science
Application form for National Outreach Programme
Batch-2012




Who can apply?

Applicants should have atleast 80% MARKS IN MATRICULATION in order to apply for the NOP.
Moreover, NOP is a NEED BASED SCHOLARSHIP. Only genuinely financially deserving students will be
considered for the Programme.


Instructions for the submission of application form:

Please follow these instructions carefully:

Fill the form in BLOCK LETTERS.
Fill in the form using a black pen.
Write your name and date of birth at the back of each photograph.
Fill the form completely; INCOMPLETE forms will not be processed.
Submit all the required supporting documents (Listed below) with your application form. Applications WITHOUT
COMPLETE DOCUMENTS will not be processed. No further reminder will be sent.
Application Form along with all the required supporting documents should reach LUMS Admissions Office latest
by January 31, 2012.

CHECKLIST OF THE REQUIRED DOCUMENTS:
Please mail all the required supporting documents (mentioned below) along with the application form in a
single envelope to the mailing address given below in the box:

Three attested latest passport size photographs;
Attested copy of Matriculation/O level result card (Attestation should be from your School);
Attested copy of National Identity Card (NIC) of your parents/guardian;
Income certificate of your parents/guardian*

Note:

* An income certificate is the document that shows monthly/annual income. If your parents/guardian are
salaried, an original copy of a pay slip should be attached, otherwise if your parents/guardian own a business
they should submit Bank Statement for the last six months. If parents/guardian does not fall in either of the
above two cases (that is salaried employee or business man) they should submit an undertaking on a stamp
paper/affidavit (of Rs.20) stating their income and with relevant details.

In case of providing false information, candidate will be disqualified and his / her application will not
be considered.
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2 Photographs

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Mailing address is given below:

Ms. Bushra Tasleem
Office of Admissions
Lahore University of Management Sciences
Opposite Sector U, DHA, Lahore Cantt. 54792





PERSONAL DETAILS : (Please use BLOCK LETTERS to fill the form)

Forms with incomplete information will not be processed.

Name:

Fathers Name: Guardians Name:

Fathers / Guardians NIC #:
(Provide a copy of NIC)

Date of Birth
(of student): ______/______/______
dd / mm / yy

Mailing Address: (All future correspondence will be made on this address)





CITY: DISTRICT:

PROVINCE:
Phone #: /
(City code) Mobile #:

Permanent Address: ( If different from the mailing address)





CITY: DISTRICT:

PROVINCE:

Phone #: /
(City code)

Email*:

* It is mandatory for you to have a valid email address as well otherwise your form can be considered INCOMPLETE.

Do you have internet access at home or near your
house?

YES NO


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EDUCATION

Attach an attested copy of all the result cards with your application form.
Marks/ Grades School / College

Matric / O-level

Intermediate / A-level 1
st
year
2
nd
year


Stream


Pre-Medical


Pre-Engineering


General Science


Arts/Commerce


Other

Is any member of your family currently studying at LUMS? Yes No If yes, state name and roll number:

Name

Roll No:






Give details about yourself and your siblings*:

*Siblings are brothers and sisters

Name Age
School / College /
University
(If still studying)

Annual
Fee
(in Rs)
Scholarships
(in Rs)
Parents
Contribution
(in Rs)







Give details of teacher / headmaster / principal of your institution who knows you personally.

Name:

School:


Address:__________________________________________



Tel:________/_____________
(city code)

Email address:



FINANCIAL DETAILS

a. ASSESTS: Houses, plots and other property owned by the family

Assets Title

Asset
Ownership**
Current Value
( in Pakistan
Rupees)
Area
( in Kanals/Marlas
or Sq. Feet)
Location
i. House
ii. Land / Plot
iii. Agriculture


iv. Commercial

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**In this column provide information about who owns the specific asset. It can be your father, mother, brother or
grandfather etc.



b. INCOME
(Give annual figures for items i, ii, iii, iv v)

Income Source Fathers Mothers
Guardians / Brothers
& sisters



Profession
i. Agricultural income
(Annual)

ii. Salary / Pension
(Annual)

iii. Returns on Saving
& Investment (Annual)



iv. Rental
Income(Annual)



v. Business Income
(Annual)


Total (I, ii, iii, iv & v)
A:

B:

C:

Total Income: (A+B+C)



How many air-conditioners do you have in your house?

Details of vehicle Owned by Family
NO Type of Vehicle Make and Model

1




2


c. EXPENSES

Annual Educational Expenses


Annual Medical Expenses




Annual Rent (If Living in a Rented House)
Transportation / Food /
Traveling Expenses / Other
Expenses ( per Annum)




Annual Taxes

Annual Electricity Bills

Annual Telephone Bills Annual Water/Gas Bills
d. LIABILITIES



Are there any outstanding loans? Yes No If yes then:

i) Please indicate theamount of loan in Rs.________________________.

ii) And also please specify the purpose for taking the loan ___________________

iii) The source from where loan was taken

Bank * Relative Employer* Other (Please Specify):


* Kindly attached the supporting documents in case the loan is from Bank or Employer.
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TUITION EXPENSES:


Tuition Fee for the first year at LUMS is Rs 500,000/- approximately

Please Indicate the total amount of contribution you can make towards

your tuition fee annually at LUMS Rs________________



TEST CENTER:
Please choose one of the following centers for Preliminary Evaluation Test

Gilgit Peshawar Rawalpindi Lahore Faisalabad Multan


Quetta Hyderabad Karachi Sukkur Gujranwala Skardu

Why do you require financial aid (Attach separate sheet if required)?














How did you get to know about National Outreach Program? (Tick any one of the following)

Friends/Relatives Newspaper Add LUMS website
Information Session at School/College.
Kindly mention the School/College Name where you attended the session:_________________________________________
Other(Please Specify): ___________________________

Undertaking:

I certify that the information given on this form is accurate to the best of my knowledge. I
understand that any misrepresentation may cause my dismissal from the Programme at any stage.


________________________ ________________________
Applicants Signatures Father/Guardians Signature

Date: ______/______/______ Date: ______/______/______
dd / mm / yy dd / mm / yy

For enquiries regarding your application form contact us at:

Phone: 042-35608000, ext: 2177.
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Fax: 042-35898317, Email: [email protected]

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Essay Topic (Mandatory):
Describe a situation or an experience of your life which demonstrates your best characteristic or quality (200
words approximately):
You can express your ideas in English or Urdu.


























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