HAZARA UNIVERSITY

(Mansehra NWFP, Pakistan)

ADMISSION FORM Attach Four
No. _______ (for office use only) MPhil / PhD Passport Size
Photographs

Tick your option: MPhil PhD Semester Spring Autumn Year 200__________

FOR OFFICE USE

Department:
Batch Number
1. PERSONAL
Surname Middle Name First / Last Name

FULL NAME

DAY MONTH YEAR MALE FEMALE

DATE OF BIRTH
CANDIDATES NIC #
FATHERS NAME
DOMICILE
FATHERS NIC #
NATIONALITY RELIGION
Telephone Nos. Res. Office
EMAIL
2. ACADEMIC QUALIFICATIONS
QUALIFICATION BOARD / UNIVERSITY YEAR ROLL MARKS TOTAL %AGE
NO. OBTAINED MARKS
Matric / SSC
HSSC / Inter
BA / BSc.
MA / MSc.
DVM
MBBS
MPhil
Any Other
3. ADDRESSES
ADDRESS MOHALLAH, POST OFFICE VILLAGE / TOWN TEHSIL DISTRICT
STREET ETC.
MAILING
PERMANENT
4. EMPLOYMENT RECORD
UNIVERSITY / Post held Designation Nature of Work BPS Period
ORGANIZATION From To

5. RESEARCH PROPOSAL / TITLE OF THE SYNOPSIS: ________________________________________________

_____________________________________________________________________________________________
6. RESEARCH PUBLICATIONS
No. of Publications National International

7. RECEIPT Fee Receipt of Rs. ________ vide Bank Challan No. _______ is attached with admission form

Recommendations of the Admission Committee: Signature of the Chairman (Admission Committee)

Signature of Members of Admission Committee:
1) ___________ 2) ____________ 3) ____________ Signature of Dean
4) ___________ 5) ____________ 6) ____________ Signature of the Vice Chancellor
RECEIPT
Received Form No. ___________ from Mr. / Ms. / Mrs. ____________________________________________________ vide
Bank Challan No. ____________ in ____________________________ Department at Hazara University.

Assistant Provost

(1)
 CERTIFICATE
I hereby certify that I am separately submitting the undertaking included in the section of documents below. I
further certify that all entries made in this application form are correct and that I shall abide by the Rules &
Regulations of Hazara University in vogue to be framed subsequently. If admitted, I shall also comply with the order
of the University Authorities during my studentship. I understand that my admission in the University is provisional
and liable to cancellation if any irregularity is found in my admission form / documents / eligibility etc.

i. I have read and understood the MPhil / PhD Prospectus of Hazara University
ii. The particulars given in the Application Form are correct
iii. I am applying for admission with the express consent of my parents / guardian / organization
iv. I will not join any union or political party during my studentship in Hazara University
v. I will devote myself to my studies and maintain the dignity and prestige of the University within and
outside the University and will be liable to any penalty including rustication / expulsion in case of any
violation on my part
vi. I will have no objection of detained either before or at the time of University Examinations due to
shortage of attendance, misconduct or fee default

SIGNATURE OF THE APPLICANT: ___________________________

SIGNATURE OF THE APPLICANTS FATHER / GUARDIAN: ___________________________

DATE: ___________________________

DOCUMENTS/CERTIFICATES REQUIRED (ATTESTED COPIES OF ACADEMIC CERTIFICATES/DEGREES ARE

ATTACHED): -

1. Attested copies of all Certificates & Degrees

2. Character Certificate
3. NOC in case of employees
4. Undertaking (complete in all respects)
5. Migration Certificate
6. Reprints of publications / reports
7. 4 Passport Size Photographs (attested)

CONDITIONS FOR ADMISSION:

a. For admission to MPhil and PhD Programs, the applicant must have passed the MA / MSc. / MBBS / DVM
examination at-least in 2nd Division or its equivalent in the relevant subject from the recognized
university / institution
b. Judicial appeals can only be filed in the Courts of Mansehra

ADMISSION FORM WILL NOT BE ACCEPTABLE, IN CASE THE:

a. Form is incomplete; b. Fee amount is less; c. Form is received after due date;

d. Attested copies of the Academic Certificates are not attached

(2)