Registration # / Tracking ID QUAID-I-AZAM UNIVERSITY

ADMISSION DATA SUMMARY SHEET For BS /BHLLB

UF19- PLEASE ENCIRCLE THE PROVINCE CODE
AJK AZAD JAMMU & KASHMIR
Nationality Domicile BLCH BALOCHISTAN
FATA FED. ADMINS. TRIBAL AREA
City Town/Tehsil KP KHYBER PAKHTUNKHWA
PNJB PUNJAB PHOTO
District State/Province SNDH (R) SINDH (RURAL)
SNDH (U) SINDH (URBAN)
NOTE: ALL THE COLUMNS GIVEN BELOW ARE TO BE FILLED, INCOMPLETE FORM WILL NOT BE ENTERTAINED
APPLICANT'S NAME (IN BLOCK LETTER)

FATHER'S NAME (IN BLOCK LETTER)

COMPUTERIZED NATIONAL IDENTITY CARD #

Please mention Passport No. in case of Foreign National
DATE OF BIRTH GENDER BLOOD GROUP

M F
POSTAL ADDRESS

Email Mobil / Cell #

ACADEMIC RECORD
Note: The candidate must encircle the box below certify his Intermediate type with
Matric, SSC, ‘O’ Level etc. with Equivalence Certificate
Equivalence Certificate
Pre-Medical Pre-Engineering ICS I.Com. ’A’ Level Others
Total Marks Marks Obtained Total Marks of HSSC Part - I Marks Obtained in HSCC Part - I

Please Tick Mark (✓) one of the following, if desired to apply on Reserved Seats
Children of Army Personnel Minority (Non-Muslim) Children of Advocates
Disabled Person Sports Foreigners

For QAU Employees only

DISCIPLINES/SUBJECTS CODE LIST

Faculty of Natural Sciences Faculty of Biological Sciences Faculty of Social Sciences
CODE DISCIPLINE CODE DISCIPLINE CODE DISCIPLINE
BS COM Computer Science BS BCH Biochemistry BS ARC Archaeology
BS CHM Chemistry BS BIT Biotechnology BS BA Business Administration
BS ELE Electronics BS BIF Bioinformatics BS ECO Economics
BS GEO Geophysics BS BOT Botany BS HIS History
BS MAT Mathematics BS ENV Environmental Sciences BH LLB L.L.B
BS IT Information Technology BS MIC Microbiology BS PKS Pakistan Studies`
BS PHY Physics BS ZOO Zoology BS PSY Psychology =====
BS STS Statistics == ===== BS IR International Relations
== ===== == ===== BS POL Political Science
DISCIPLINE PRIORITIES
Applicants are advised to fill/opt the priorities carefully because once filled, the subject priorities shall not be changed in any case. An applicant can
opt for a maximum of three priorities of subjects either on Regular (R) OR on Self-Finance (S) and/or both basis in the same subjects (3-R + 3-S= 6).
Use separate box for each Discipline. Write either Regular (R) or Self Finance (S) against each Priority of the Discipline you want to apply.

Priority Subject Code Regular/Self Finance Priority Subject Code Regular/Self Finance
1st 4th
2nd 5th
3rd 6th
 Have you ever been a student of Quaid-i-Azam University?............. If yes give details: Programme …….… Year ….. Specify the reasons for
leaving (ceased/cancelled/others)……………………….…..
 Are you presently enrolled in a college/university/institution? If yes, then mention Programme/Discipline: ……………………….…..

Signature of the Candidate

 -2-
DECLARATION/UNDERTAKING BY THE CANDIDATE

(a) That the information given in the Admission Form is correct to the best of my knowledge, belief and if anything is found incorrect/misleading or
concealment of facts, Quaid-i-Azam University (QAU) shall have the right to refuse/cancel my admission and expel me from the University/
(b) That I promise to: -
(i) Abide by the Statutes, Rules and Regulations etc. framed by the QAU and any other instructions issued from time to time.
(ii) Maintain good behaviour during studies and while being on Campus.
(iii) Work diligently and maintain dignity and prestige of QAU both ON and OFF the Campus.
(c) That I undertake to be a full-time regular student of the QAU and shall not join any other programme of study or accept any employment for the
duration of the programmes registered. (In-service candidates are required to produce NOC/Study Leave duly sanctioned by the
Employers/Authority).
(d) That I further undertake that I shall not claim hostel accommodation as a matter of right if admitted to the QAU.
(e) That I hereby declare as a binding on me that as long as I am a student I shall abide by all the Statutes, Rules and Regulations, inforce at the time
of joining the QAU and framed subsequently. I shall submit myself to the discipline of the QAU authorities as exercised through its various
Committees and Officers.
(f) That I shall not claim/apply for any financial support/fee waivers/exemption once I am admitted to the QAU on Self Finance basis.
(g) That the requisite documents i.e. Marks Sheets/Certificates etc. as submitted by me are genuine and in case found fake/bogus/ tampered, the QAU
shall have a right to refuse/cancel my admission and expel me from the University OR initiate Legal Action against me.
(I) That I will produce/submit originals of requisite documents i.e. Marks Sheets/Certificates etc. at the time of interview for admission.
(J) I will also submit my HSSC Part-II result card in the Department/ Institute/School/Centre within one month after declaration of the relevant BISE
result. After selection if I failed to submit my HSSC Part-II result card, the QAU has a right to cancel my admission.

Signature of the Candidate

DECLARATION/UNDERTAKING BY FATHER/GUARDIAN (Applicable for Undergraduate Programme):

I am responsible for the behaviour and conduct of my son/daughter/ward, during his/her stay at the QAU and shall fully cooperate with the QAU
Authorities in this regard as/when/how required by the QAU. I am enclosing a signed copy of CNIC as proof of my undertaking.

Signature of the Parent/Guardian

S# Documents to be attached with Data Summary Sheet No. of

copies
1. Copy of SSC (Matriculation) Examination Marks Sheet or equivalent. 01
2. Copy of HSSC (Intermediate) Part-I Marks Sheet or equivalent. 01
3. CNIC OR Form B in case of under 18-years of age. 01
4. CNIC of Father/Parents/Guardian. 01
5. Domicile Certificate of candidate OR of father/mother if the applicant is under 18-years of age and his/her name is 01
included in it.
6. Character Certificate from the institution last attended. 01
7. Equivalence Certificate and conversion of the grades, into marks from Inter Board Committee of Chairman (IBCC) for 01
Matriculation and Intermediate levels in case of qualifications OR certificate from foreign institutes
8. Sports Certificates i.e. International/National/Provincial/District etc. level issued by the concerned Authorities 01
(Only for applicants seeking admission against the Sports Quota)
9. Disability Certificate issued by the District Assessment Board etc. (for applicants of Disabled Reserved Seats) and the 01
Certificate of Disability duly verified by the Principal Medical Officer (Medical Centre) of QAU.
10. Minority Certificate issued by the Principal of last attended Institute (for applicants of Minority Reserved Seats) 01
11. Army Personal Service Card OR Pension Book of Parent (for applicants of Children of Army Personals) 01
12. Foreign Citizenship OR Passport for Foreign National and Dual Nationals (having Pakistani and some other nationality) 01
Refugees (status recognized by Govt. of Pakistan) (for Foreigner Reserved Seats)
13. Letter of Registration from District Bar Association duly verified by the President. (For the Children of Advocates on 01
Reserved Seats in BH LLB program only)
14. Original HBL/Askari Bank Deposit Slip of Rs.2100/- (For Admission Processing Charges & Admission Form of QAU) 01
15. Any other supporting/relevant document 01

The above mentioned relevant attested documents can be sent by TCS/Courier/Post on the following address: -

ASSISTANT REGISTRAR (ADMISSIONS),

(CAMP OFFICE) BASEMENT OF ACADEMIC BLOCK UNDERGRADUATE (SOCIAL SCIENCES) NEAR (FOOTBALL GROUND),
QUAID-I-AZAM UNIVERSITY, (45320) ISLAMABAD
 UNDERTAKING FOR UNDERGRADUATE PROGRAMME
In response to the advertisement for admission to Undergraduate Programme (Fall Semester-2019)
I,_________________________________________S/O, D/O___________________________________ intend to get
admission in QAU, Islamabad. Unfortunately, the following encircled requisite document (s) is/ are missing while
submitting the Admission Data Summary Sheet/Form:
S# Documents
1. Copy of SSC (Matriculation) Examination Marks Sheet or equivalent.
2. Copy of HSSC (Intermediate) Part-I Marks Sheet or equivalent.
3. CNIC OR Form B in case of under 18-years of age.
4. CNIC of Father/Parents/Guardian.
5. Domicile Certificate of candidate OR of father/mother if the applicant is under 18-years of age and his/her name is included
in it.
6. Character Certificate from the institution last attended.
7. Equivalence Certificate and conversion of the grades, into marks from Inter Board Committee of Chairman (IBCC) for Matric
and Intermediate levels in case of qualifications OR certificate from foreign institutes
8. Sports Certificates i.e. International/National/Provincial/District etc. level issued by the concerned Authorities (Only for
applicants seeking admission against the Sports Quota)
9. Disability Certificate issued by the District Assessment Board etc. (for applicants of Disabled Reserved Seats)
10. Minority Certificate issued by the Principal of last attended institute (for applicants of Minority Reserved Seats)
11. Army Personal Service Card OR Pension Book of Parent (for applicants of Children of Army Personals)
12. Foreign Citizenship OR Passport for Foreign National and Dual Nationals (having Pakistani and some other nationality)
Refugees (status recognized by Govt. of Pakistan) (for Foreigner Reserve Seats)
13. Letter of Registration from District Bar Association duly verified by the President. (For the Children of Advocates on
Reserved Seats in BH LLB program only)
14. Original HBL/Askari Bank Deposit Slip of Rs.2100/- (For Admission Processing Charges & Admission Form of QAU)
15. Any other supporting/relevant document
1. I, undertake to submit the above mentioned missing documents to the Admission Section (QAU) on or before
22-07-2019 during the office hours positively. I will also submit my HSSC Part-II result card in the Department/
Institute/School/Centre within one month after declaration of the relevant BISE result. After selection if I failed to
submit my HSSC Part-II result card, the QAU has a right to cancel my admission.

2. I understand that I will be admitted subject to the submission of the above mentioned encircled document (s).

3. I will be considered for admission to Undergraduate Programme only if I fulfill the eligibility criteria and merit.

4. I will not file a civil suit in any court of law or challenge the admission already selected students in case of
non-submission of the requisite documents during the stipulated time period.

5. I will not claim admission as a matter of right without submission of the above mentioned encircled document (s).

6. I understand that University has the right to cancel or refuse my admission without assigning any reason.

7. In case of incorrect/misleading information or concealment of facts, the University will have the right to refuse/
cancel the admission and expel the student from the University.

8. I have paid missing documents late submission processing fee amounting to Rs.1000/- vide HBL/Askari Bank
Dated____________2019 (Copy attached).

Dated: _________/2019 Signature_____________________________

Name___________________________________________________
Father’s Name____________________________________________
Tracking ID/Registration # of QAU: UF19-______________
 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, * Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) * The Bank Must Return “QAU Copy” to the Candidate.
* Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Admission Processing Admission Processing
Charges RS: 2100/- Charges RS: 2100/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

STUDENT’s COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, * Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) * The Bank Must Return “QAU Copy” to the Candidate.
* Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Admission Processing Admission Processing

Charges RS: 2100/- Charges RS: 2100/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs.15/- Bank Service Charges Note: Rs. 15/- Bank Service Charges

Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Admission Processing Admission Processing
Charges RS: 2115/- Charges RS: 2115/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

STUDENT’s COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs.15/- Bank Service Charges Note: Rs.15/- Bank Service Charges
* Note:
 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip 1. Please Stamp both copies of deposit Slip.
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 2. The Bank Must Return “QAU Copy” to the Candidate.
Form will not be entertained without Original Deposit Slip (QAU Copy) 3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Admission Processing Admission Processing

Charges RS: 2115/- Charges RS: 2115/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD.

Any Remote Branch of ASKARI BANK LTD.
Askari Bank Ltd Any Remote Branch of
Account Title QAU Receipt Account No. 150149000008-1 Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1
Note: No Bank Service Charges
Note: No Bank Service Charges
 Note: * Note:
 Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip (QAU 1. Please Stamp both copies of deposit Slip.
Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 2. The Bank Must Return “QAU Copy” to the Candidate.
Form will not be entertained without Original Deposit Slip (QAU Copy) 3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name
Applicant’s Name
Father’s Name
Father’s Name
CNIC/ Form.B. No.
CNIC/ Form.B. No.
Processing Fee for Left
Processing Fee for Left Over Documents RS: 1,000/-
Over Documents RS: 1,000/-
Applicant’s Sig. Cashier Officer
Applicant’s Sig. Cashier Officer

STUDENT’s COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

ASKARI BANK LTD. ASKARI BANK LTD.

Any Remote Branch of Any Remote Branch of
Askari Bank Ltd Askari Bank Ltd
Account Title QAU Receipt Account No. 150149000008-1 Account Title QAU Receipt Account No. 150149000008-1

Note: No Bank Service Charges Note: No Bank Service Charges

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit * Note:
Slip (QAU Copy) along Application Form Application to Quaid-i-Azam University, 1. Please Stamp both copies of deposit Slip.
Islamabad. Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Processing Fee for Left Processing Fee for Left

Over Documents RS: 1,000/- Over Documents RS: 1,000/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

 QAU COPY BANK COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs.15/- Bank Service Charges Note: Rs.15/- Bank Service Charges

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Processing Fee for Left Processing Fee for Left
Over Documents RS: 1,015/- Over Documents RS: 1,015/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer

STUDENT’s COPY ACCOUNT COPY

Quaid-i-Azam University, Islamabad Quaid-i-Azam University, Islamabad

Branch Code Date Branch Code Date
Branch Name Branch Name
ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP

HABIB BANK LTD. HABIB BANK LTD.

Any Remote Branch of Any Remote Branch of
Habib Bank Ltd Habib Bank Ltd
Account Title QAU Fee Dues Account Account No. 0042-79016066-03 Account Title QAU Fee Dues Account Account No. 0042-79016066-03

Note: Rs.15/- Bank Service Charges Note: Rs.15/- Bank Service Charges

 Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip * Note:
(QAU Copy) along Application Form Application to Quaid-i-Azam University, Islamabad. 1. Please Stamp both copies of deposit Slip.
Form will not be entertained without Original Deposit Slip (QAU Copy) 2. The Bank Must Return “QAU Copy” to the Candidate.
3. Deposit Slip will not accepted without Candidates Required Documents.

Applicant’s Name Applicant’s Name

Father’s Name Father’s Name

CNIC/ Form.B. No. CNIC/ Form.B. No.

Processing Fee for Left Processing Fee for Left

Over Documents RS: 1,015/- Over Documents RS: 1,015/-

Applicant’s Sig. Cashier Officer Applicant’s Sig. Cashier Officer