[University Name ]

Performa for Laptop Distribution Scheme

Name
Fathers Name
CNIC #(Attach the Copy of
CNIC)
Contact #
Tic Appropriate (!a"e #
Fema"e)
$mai"
Pro%ram # C"ass of Last
$&am
Detai"s of Last $&am'
Tota" !ars (btaine) !ars Percenta%e
$&am System (Annua" # Semester) * +o"" No * +e% No
(Attach Copy of +esu"t Car) )
Present Pro%ram # C"ass
Department
Session'
!ornin% # $,enin%
+o"" No
Documents to be attached:
-. Copy of student ID card or Fee Voucher
/. Copy of CNIC
0. Copy of Result Card (Previous Degree
I declare that the above mentioned details are true and I have NOTReceived the Award of
Laptopbefore
Signature of the
Student
Si%nature of 1(D
In case of providing !rong information" #niversity !ill ta$e strict action against the
student