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Application #______ MSc Engineering Admission-2017

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APPLICATION FORM FOR ADMISSION IN
PART TIME MSc ENGINEERING
UNIVERSITY OF ENGINEERING AND TECHNOLOGY, TAXILA
(PLEASE TYPE OR PRINT IN BLACK)

1. ENTRY:________________
2. DISCIPLINE:____________ (Electrical /Electronics/Mechanical/ Industrial/Engg.
Management/ Civil/ Computer/ Software/Telecom/ Computer Science & Basic
Science.

3. Specialization Preference:
1st: ______________________________________
2nd: ______________________________________
3rd: ______________________________________ ATTESTED
th PHOTOGRAPH
4 : ______________________________________
5th :______________________________________
6th :______________________________________
4. PERSONAL DETAILS: All entries should be in capital letters.
The applicant are required to attached Bank Challan/Bank Draft of
Rs.1000/- along with their application if they have download the form.
Name

Fathers Name

Date of Birth Religion


Mailing
Address

Permanent
Address

Domicile
CNIC No.
Phones Office Phone Res.
Fax No. E-mail
(*) If Pakistani National, Please enter Domicile District and National Identity Card Number:
5. ACADEMIC INFORMATION:
B.Sc Year Max. Obtained Percent/ Honours/ Institution/ Major Area
Engineering Held Marks Marks CGPA Awards University
First Year

Second Year

Third Year

Final Year

Aggregate
BSc Engg.
GAT General
Note: Term/Semester system graduates should fill in against each year the sum of marks
obtained in corresponding two terms/semesters.
6. PROFESSIONAL EXPERIENCE: (For employed applicants only)
Job Title/ Organization/ From To Grade/ Nature of Duties/
Designation Department (mm- (mm-year) Salary (per Major
year) month Assignment

7. PERMISSION FROM CURRENT EMPLOYER TO APPLY FOR ADMISSION


(To be submitted by all employed applicants)
Certified that Mr./Miss/Mrs.__________________________________________________
Designation _____________________is currently employed by us, WE DO NOT HAVE
ANY OBJECTION to his/her application/admission to the MSc degree Engineering
program at the Department of ___________________ Engineering, at the University of
Engineering and Technology, Taxila.

________________________________
Signature of the Head of the Organization
Date:__________________

Name:______________________________

Designation:_________________________

8. DECLARATION (by the applicant)


I, solemnly declare that (Tick one):
[ ] I am not employed anywhere. If I get employed, I shall inform the Department and
shall provide No Objection Certificate from my employer.

[ ] I am EMPLOYED. Permission from my employer to apply for admission is given


above. Further, I have carefully read the rules/regulations in the prospectus and if
admitted, I will abide by the terms and conditions laid there in.

_________________ _____________________________
Date Signature of the Applicant
INSTRUCTIONS TO COMPLETE THE APPLICATION FORM
[1] Each candidate shall submit only ONE application irrespective of the number of
preferences for specialization.
[2] The application form, duly filled in by the candidate, shall be submitted in the office
of the Chairman of the Concerned department along with all documents/
testimonials by the last date and time mentioned in the admission advertisement.
[3] Attach attested copies of: (i) Matric, (ii) Intermediate, (iii) Provisional
Certificate/B.Sc. Engg. Degree (iv) Detailed marks certificates for all the university
examinations of the B.Sc. Engineering course. (v) Experience Certificates.
[4] Write ENTRY you are applying for at # 1. For example, present Entry is 2017. Enter
MSc degree course you are applying for at #2.
[5] Write the specialization in MSc degree program in the order of your preference at
#3. Before filling in these entries, consult the Prospectus/concerned department for
the availability of a specific specialization, you are interested in.