Created with PDF4NET 2.
7 evaluation version
Application Number: Fa-2018-UG-06036
HITEC University Taxila
Telephone: +92-51-4908146-49
Admission Application
Undergraduate ( BS Engineering )
Session: Fa-2018
Affix one
HITEC UNIVERSITY TAXILA ENGINEERING
passport size
Test Center: Test Type:
photo here.
NTS Roll #: N/A Score: N/A
Option 1: BS Mechanical Engineering Option 2 : NA
Option 3 : NA Option 4 : NA
Applicant’s Personal Information
1. Name: MUHAMMAD TALHA
(as per your SSC / O-Level certificate)
2. C.N.I.C./Form B No. 34103-0423509-7 3. Passport No:__________________
4. Father’s Name: MUHAMMAD YAQUB ANJUM 5. Mother’s Name:__________________
ZAIDHA PARWEEN
(as per your SSC / O-Level certificate)
6. Date of Birth: 08 Sep 1999 7. Gender: Male Female
(as per your SSC / O-Level certificate)
8. Postal Address: MUSTAFAI CHOCK,GALLI GOVT BOYS SCHOOL WALI,LOHIAWALA,GUJRANWALA, Distr
ict : GUJRANWALA, PAKISTAN.
9. Permanent Address: MUSTAFAI CHOCK,GALLI GOVT BOYS SCHOOL WALI,LOHIAWALA,GUJRANWALA, Distr
ict : , PAKISTAN.
10. Home Phone Number: 11. Applicant’s Mobile : 0303-4545340
14. Academic Record 15. Family Income : Rs. 20,000 - 30,000
Obtained Total
Degree / Certificate Board Subjects Year %
Marks Marks
SSC BOARD OF INTERMEDIATE AND SECONDARY ED- SCIENCE 2015 670 1100 60.91
UCATION, GUJRANWALA
PUNJAB BOARD OF TECHNICAL EDUCATION, L- MECHANICAL 2018 1758 2250 78.13
DAE (Result Awaiting)
AHORE
For Office Use Only
Recieved By :_____________________________ Checked By :_____________________________
Signature :_______________________________ Signature :_______________________________
Date :___________________________________ Date :___________________________________
Online Data Processing Date & Time: Thursday, 05 July 2018 : 19:09:37
Application Number: Fa-2018-UG-06036
Created with PDF4NET 2.7 evaluation version
Parent’s / Guardian Information Parent Guardian Ward Of Employee: NO
16. Parent’s / Guardian’s Name: MUHAMMAD YAQUB ANJUM
17. Parent’s / Guardian’ s CNIC Number: 34103-5238139-3
18. Employer: PRIVATE EMPLOY
19. Work Address: SUI GAS,OFICE,GUJRANWALA
20. Home Phone Number: 21. Mobile Number : 03034545340
22. Work Phone Number: 23. Fax Number :
25. UNDERTAKING
I certify that all the information provided are complete and accurate to the best of my knowledge
and belief. I do understand that if any information is found to be incorrect at any stage, this would
automatically result into the cancellation of my admission without any liability on HITEC University.
I also certify to bear all the expences of the course, inclusive of the FINED AMOUNT, which may be
due to late submission of dues or disciplinary reasons.
Date: __________________________________ Applicant Signature:
Date: __________________________________ Father/Guardian Signature:
Instructions For Form Submission
Please make sure that you have read and understood the instructions for Admission in the HITEC University Academic Programs. Please 5
tick and attach the relevant documents as under :-
Check List For Documents:
Please attach following documnents.
1. Four (04) Passport size recent photographs. []
2. Attested Photocopy of CNIC / Form 'B' (if CNIC not issued). []
3. Attested Photocopy of Father/Guardian CNIC. []
4. Attested photocopy of SSC certificate. []
5. Attested Photocopy of HSSC with detailed marks sheet. []
6. Attach one (01) paid challan slip in original. []
7. Attested Photocopy of valid NTS-NAT result card (if available) []
Please send the printed Application Form along with documents as per check list by courier/registered mail or by hand before
_____________________
Tuesday, 31 July 2018 at the following address:-
Registrar Office
HITEC University Taxila Museum Road,
Taxila Cantt
Phone #: 051-4908146-49 Ext. 309
Online Data Processing Date & Time: Thursday, 05 July 2018 : 19:09:37
Expiry Date: Tuesday, 31 July 2018 Expiry Date: Tuesday, 31 July 2018 Expiry Date: Tuesday, 31 July 2018
Created with PDF4NET 2.7 evaluation version
HITEC University HITEC University HITEC University
Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk
Challan No: Fa18/00446 Challan No: Fa18/00446 Challan No: Fa18/00446
Issue Date: 05 Jul 2018 Issue Date: 05 Jul 2018 Issue Date: 05 Jul 2018
Due Date: 31 Jul 2018 Due Date: 31 Jul 2018 Due Date: 31 Jul 2018
11932 11932 11932
Name: Muhammad Talha Name: Muhammad Talha Name: Muhammad Talha
Application ID/Roll No: Fa-2018-UG-06036 Application ID/Roll No: Fa-2018-UG-06036 Application ID/Roll No: Fa-2018-UG-06036
Semester: FA-2018 Degree: BS Engineering Semester: FA-2018 Degree: BS Engineering Semester: FA-2018 Degree: BS Engineering
# Particulars Amount Payable # Particulars Amount Payable # Particulars Amount Payable
1 Prospectus Fee 2000.00 1 Prospectus Fee 2000.00 1 Prospectus Fee 2000.00
Gross Amount Payable 2000.00 Gross Amount Payable 2000.00 Gross Amount Payable 2000.00
Less: Scholarship (If any) 0.00 Less: Scholarship (If any) 0.00 Less: Scholarship (If any) 0.00
Less: Amount Already Paid 0.00 Less: Amount Already Paid 0.00 Less: Amount Already Paid 0.00
Less: Amount Paid Now 2000.00 Less: Amount Paid Now 2000.00 Less: Amount Paid Now 2000.00
Balance Payable 0.00 Balance Payable 0.00 Balance Payable 0.00
Total Amount to be Paid 2000.00 Total Amount to be Paid 2000.00 Total Amount to be Paid 2000.00
Rs. Two Thousand Only Rs. Two Thousand Only Rs. Two Thousand Only
Payment Mode: Cash/Cheque/Po No./DD N0 Payment Mode: Cash/Cheque/Po No./DD N0 Payment Mode: Cash/Cheque/Po No./DD N0
To be Paid under Account No. 0205-1002544145 with To be Paid under Account No. 0205-1002544145 with To be Paid under Account No. 0205-1002544145 with
Bank Alfalah Ltd. Taxila Branch Bank Alfalah Ltd. Taxila Branch Bank Alfalah Ltd. Taxila Branch
Bank Copy University Copy University Copy
Pay the cost of Prospectus in any branch of Bank Alfalah Ltd. Contact Us at 0320-5060001 for any query
Expiry Date: Tuesday, 31 July 2018 Expiry Date: Tuesday, 31 July 2018 Expiry Date: Tuesday, 31 July 2018
Created with PDF4NET 2.7 evaluation version
HITEC University HITEC University HITEC University
Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk Telephone: +92-51-4908146-50 Web: www.hitecuni.edu.pk
Challan No: Fa18/00446 Challan No: Fa18/00446 Challan No: Fa18/00446
Issue Date: 05 Jul 2018 Issue Date: 05 Jul 2018 Issue Date: 05 Jul 2018
Due Date: 31 Jul 2018 Due Date: 31 Jul 2018 Due Date: 31 Jul 2018
11932 11932 11932
Name: Muhammad Talha Name: Muhammad Talha Name: Muhammad Talha
Application ID/Roll No: Fa-2018-UG-06036 Application ID/Roll No: Fa-2018-UG-06036 Application ID/Roll No: Fa-2018-UG-06036
Semester: FA-2018 Degree: BS Engineering Semester: FA-2018 Degree: BS Engineering Semester: FA-2018 Degree: BS Engineering
# Particulars Amount Payable # Particulars Amount Payable # Particulars Amount Payable
1 Prospectus Fee 2000.00 1 Prospectus Fee 2000.00 1 Prospectus Fee 2000.00
Gross Amount Payable 2000.00 Gross Amount Payable 2000.00 Gross Amount Payable 2000.00
Less: Scholarship (If any) 0.00 Less: Scholarship (If any) 0.00 Less: Scholarship (If any) 0.00
Less: Amount Already Paid 0.00 Less: Amount Already Paid 0.00 Less: Amount Already Paid 0.00
Less: Amount Paid Now 2000.00 Less: Amount Paid Now 2000.00 Less: Amount Paid Now 2000.00
Balance Payable 0.00 Balance Payable 0.00 Balance Payable 0.00
Total Amount to be Paid 2000.00 Total Amount to be Paid 2000.00 Total Amount to be Paid 2000.00
Rs. Two Thousand Only Rs. Two Thousand Only Rs. Two Thousand Only
Payment Mode: Cash/Cheque/Po No./DD N0 Payment Mode: Cash/Cheque/Po No./DD N0 Payment Mode: Cash/Cheque/Po No./DD N0
To be Paid under Account No. 0205-1002544145 with To be Paid under Account No. 0205-1002544145 with To be Paid under Account No. 0205-1002544145 with
Bank Alfalah Ltd. Taxila Branch Bank Alfalah Ltd. Taxila Branch Bank Alfalah Ltd. Taxila Branch
Student Copy University
Student Copy
Copy University
Student Copy
Copy
