MEHRAN UNIVERSITY OF ENGINEERING & TECHNOLOGY,

JAMSHORO

INFORMATION COMMUNICATION & PROCESSING CENTER

SMART (STUDENT ID) CARD REGISTRATION & SERVICES FORM
Registration 27710 Applied For duplicate
Bank Challan No. Date of Payment
Name Masroor Anwar Father's Name Muhammad Anwar
Surname Sahito Date of Birth 1997-04-08
Address sardar colony kazi ahmed City Shaheed Benazir Abad
Province Sindh Country PK
CNIC No. 45401-8235971-1 Mobile No. 03053893727
Email sahitomasroor.sm@gmail.com Programme under graduate
Department Architecture Roll No. 16PG17
Date of Admission 2016-01-01 Enrollment No. 0
Emergency Contact
Zaheer Anwar Phone/Mobile 03003225606
Person
Known Medical
NIL Blood Group AB+
Conditions
Passport

Signature of Applicant Chairman or Chairperson(UG)/Director(PG)

Note: Please attach a photocopy of valid ID Card / Enrollment Card / Admission Letter

For Library Membership Verification For Office Use Only

Bank Challan No. & Date Form Received Date
Expected Card Delivery Date
Signature & Stamp of
Library focal Person Signature of Smart Card focal
Person

Acknowledgement of Receipt Expected Card Delivery Date

This is to acknowledge that Masroor Anwar of Dept. Architecture bearing Roll no. 16PG17 has submitted
form on ___________.
Recevied By _______________
 MEHRAN MEHRAN MEHRAN MEHRAN
UNIVERSITY UNIVERSITY UNIVERSITY UNIVERSITY
A/C No: 00720007023903 A/C No: 00720007023903 A/C No: 00720007023903 A/C No: 00720007023903
HBL MUET University Sub-Branch HBL MUET University Sub-Branch HBL MUET University Sub-Branch HBL MUET University Sub-Branch
Jamshoro Jamshoro Jamshoro Jamshoro
Challan No: 27710 Challan No: 27710 Challan No: 27710 Challan No: 27710
Reg No: 27710 Reg No: 27710 Reg No: 27710 Reg No: 27710
Full Name: Masroor Anwar Full Name: Masroor Anwar Full Name: Masroor Anwar Full Name: Masroor Anwar
Roll No: 16PG17 Roll No: 16PG17 Roll No: 16PG17 Roll No: 16PG17
Amount Amount Amount Amount
Description Description Description Description
(PKR) (PKR) (PKR) (PKR)
Duplicate Card Duplicate Card Duplicate Card Duplicate Card
Rs. 1000.00 Rs. 1000.00 Rs. 1000.00 Rs. 1000.00
Processing Fee Processing Fee Processing Fee Processing Fee
Total Amount Total Amount Total Amount Total Amount
Payable Rs. 1000.00 Payable Rs. 1000.00 Payable Rs. 1000.00 Payable Rs. 1000.00
Not Refundable Not Refundable Not Refundable Not Refundable
___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________
Manager Cashier Manager Cashier Manager Cashier Manager Cashier
Bank's Copy Account's Branch Copy ICPC's Copy Candidate's Copy