Guardian Councils Members List

Faculty __________________________________________________________________________
Department/ Institute/ Centre/ School ___________________________________________
University Guardian Council (UGC): Alphabet
Sr.#

Name of Student/ NIC #

Constitution Date: _______________

Registration No.

Blood Group

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Name of UGC Heads

Designation

Signature of Chairperson/ Director

Proforma for Guardian Council Member

(to be filled by student with permanent ink pen)

1. Faculty: _________________________________________________________________________
2. Department/ Institute/ Centre/ School: ________________________________________
3. Particularly Students:
a) Name of Student: ______________________________________________________________
b) Class/ Semester:_______________________________________________________________
c) Roll No/ Registration No: _____________________________________________________
d) CNIC No: _______________________________ e) Blood Group: ______________________
f)

Telephone (Line):________________________ g) Mobile: ___________________________

4. Particular of Students Faculty:

a) Fathers Name: _______________________________________________________________
b) Occupation: ____________________________ c) Family Income: ____________________
d) Telephone (Line):________________________ e) Mobile: ___________________________
f) Name of Guardian (if other than Father):

_____________________________________

g) Relation with Guardian: _______________________________________________________

5. Boarding Details:
a) Day Scholar/ Border: ________________________________________________________
b) Name of Hostel: ________________________ c) Room #: __________________________
d) Address of Hostel: _____________________________________________________________
e) Name and Telephone No of authorized contact person of Hostel: ________________
________________________________________________________________________________
6. Contact Details:
a) Present Address: ______________________________________________________________
________________________________________________________________________________
b) Telephone No. (Line):___________________________________________________________
c) Permanent

Address:

_________________________________________________________

________________________________________________________________________________
d) Telephone No. (Line):__________________________________________________________
e) Emergency Telephone Nos: _____________________________________________________
f)

Name of relatives allowed by the parents for meeting with the student member of
the UGC with their NIC Nos and contact details.

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
7. Issues:
a. Health:_____________________________ b) Economic: __________________________
c) Security: ____________________________ d) Academics: _________________________
f) Social: ______________________________ g) Others: ____________________________
Date: ___________________

Signature of Student