Form No: ___________
RE-ENROLMENT FORM
(For student to fill) Department ______ _
Re-Enrolment to Programme (BS/MS/Ph.D.) _______________
Previous Session: Roll No.
Challan No. & Date Semester / Prof. ______________ LCWU Reg. No.
Major: Minor-I Minor-II
Candidate’s Name
(In Block Letters)
Candidate’s CNIC No. Date of Birth
Father’s Name & Occupation Father’s CNIC No.
Guardian Name Guardian’s CNIC No.
Present Address & Phone No.
Reason for Re-Registration
Academic Record [Current Degree] (Attach the Result Cards)
Semester G.P.A Remarks Semester G.P.A Remarks
One Five
Two Six
Three Seven
Four Eight
Previous Record of Re-Enrolment (Attached Permission Letter) No.
1. First Re- Registration (if any): Date of First Re-Enrolment: (Attach copy of Registration / Enrolment Card)
2. Second Re- Registration (if any): Date of Second Re-Enrolment: (Attach copy of first Re-Enrolment Card)
DECLARATION BY THE APPLICANT
I, solemnly declare that I am submitting the Re-Registration Form with the consent of my father/ guardian. I pledge to fully abide by the
prescribed rules and regulations of the University, Prospectus or amendments from time to time, and that I will not take part in any political and/or
any unlawful activity. I also affirm that I was neither expelled/ rusticated by any institution at any time, nor was ever disciplinary action taken against
me.
____________________
Signature of Applicant
[for office use]
1. Remarks by Director Research: _________________
2. Remarks by Chairperson of Department:
3. Remarks by Controller of Examinations: ________
Director Research Chairperson Controller of Examinations
Approved
Registrar Vice Chancellor
LCWU LCWU
Re-Enrolment Status
Vide Letter No. Dated
Check List of Required Documents:
a) Attested Copy of Matric Certificate
b) Attested Copy of Intermediate Certificate
c) Student Registration Card. (original)
d) Copies of all Result Cards.
e) Affidavit / Medical Certificate if applicable
f) Admission Form of Student (COD)
g) Detail Results of Semester (Controller Office)
h) Update of Fee (Treasurer Office)