RIPHAH INTERNATIONAL UNIVERSITY
Sector I-14, Islamabad Online
Application for Admission QF-MU-Ad-001
Admission Applied for Session: For Office Use Only
Fall (September - December) Spring (January - April)
Entry Test roll number: __________________________
Summer (May – August) Year 20____________ Application received on:__________________________
Received by (sign):_______________________________
Admission Required in Program (Please mention preference of choice for four programs as option 1, 2, 3 & 4. In case the admission is not
granted in option 1 you will be then considered for option 2 and further accordingly)
MBBS BS Media Production MBA (Regular) Other (Specify as offered)
BDS BSc Biomedical Engineering MBA (Modular)
D-Pharm BSc Electrical Engineering MBA(1yr+Proj)for BBA Hons
DPT BS Mass Communication MBA Islamic Business & Finance
t-DPT PGD TV Production MS Management Sciences
BBA MA TV Production MS Electrical Engineering
BS Software Engineering MSc Mass. Communication MS Mathematics
BS Information Technology MS Mass. Communication MSc Mathematics
BS Computer Science MS Computer Sciences Diploma in Statistics
Candidate As: Fresh Admission Transferring
Category Information About Reserved Seats:
Foreign Seat Open Merit Seat RIU/IIMCT Employee Seat
Pakistan Railways Nominees (MBBS only) Al-Mizan Foundation Seat(MBBS & BSc-Engg.only)
Candidate’s Name
Father's Name Father's Occupation Attach
Three Recent
Photographs
Guardian's Name (If sponsor is other than parents) Guardian's Occupation 1'/2" x 2"
Date of Birth (DD/MM/YYYY) National ID Card No. Nationality
Gender Email Address Passport No.
Male Female
Academic Background (includes Short Course and Admission/Aptitude Test Certificates)
Marks/%age/Grade
Certificate/Diploma/Degree Subject/Major Year of Completion /CGPA/Score Board/University/Institution
SSC or Equivalent
HSSC or Equivalent
Present Mailing Address
Street Address City Country Contact No.
Permanent Address
Street Address City Country Contact No.
Person to Notify in Case of Emergency
Name Occupation Relationship
Street Address City Country Phone
Sponsor’s Information:
Who will sponsor(bear) your educational expenses of this program:
Father Mother Guardian Self Other; Please specify:___________
Monthly Income of sponsor: Rs.____________ US$._____________ Foreign Source Pakistan Source
Can sponsor easily meet the educational expenses of whole duration of this program? Yes No
Hifz-e-Quran Information: Are you Hafiz-e-Quran? Yes No (Please provide certificate if yes)
Hostel Accommodation: Would you need our hostel accommodation: Yes No
Particulars of blood relation(s) studying in any program of RIU
Name Relationship Program Semester/Term
1.
2.
Your Work Experience if any (most recent first)
Date
Position held Name and Address of the Institution
DD/MM/YY to DD/MM/YY
How did you hear about us:
Newspaper Advertisement Newspaper's Name:____________ Magazine
Internet Word of mouth Other; Please specify:_________
Checklist of attached documents (please attach attested A4 size copies of each document listed below)
Certificate and Detailed Marks Sheet of Secondary School Examination/Equivalent.
Certificate and Detailed Marks Sheet of Higher Secondary School Examination/Equivalent.
Degree and Detailed Marks Sheet of Bachelor Level Examination/Equivalent.
Provisional Certificate (for the applicant awaiting result and / or certificate / degree).
Equivalency Certificate (Issued by BISE if education is from country other than Pakistan.
Other certificate/diploma/degree (as aforementioned in the particulars).
Proof of employment for candidates applying on reserved seats (i.e. RIU, IIMCT, Pak Railways)
National Identity Card or Form 'B' of candidate.
National Identity Card of Father/Guardian/Sponsor.
Three Recent Photographs (should be of 1.'/2" x reach).
Valid Passport & Visa (Foreign Students).
A Bank/Demand Draft bearing no._______________ dated: __________ of (Bank Name) _______________drawn in
favour of Riphah International University for Rs.760/- is enclosed.
Undertaking:
I have read the application form and prospectus, understand and fully aware of details of the program. I undertake to
pay program fee and all other dues to the university regularly without delay as per prevailing rules. I further
undertake to abide by the rules and regulations of the university and certify that the information provided in this
application form is true to the best of my knowledge and belief.
Date Candidate’s Signature Parent/Guardian’s Signature
For Office Use Only
Admitted /Not Admitted Remarks Dean's Signature
Registration No Remarks Registration Officer's Signature
RIPHAH INTERNATIONAL UNIVERSITY
Acknowledgement/Receipt
Received the application Form Number:______________with thanks From Mr./Miss. _________________________
Father’s Name:_________________________________ for admission in (program):________________ for session
Fall/Spring 20________.
Receiver’s Signature:____________________
Date: ____________________
