MEDICAL CERTIFICATE

To be submitted by the selected candidates only

I certify that I have carefully examined Mr./Miss./Mrs. ________________________________ son / daughter of ____________________________________________________________ and that his/her age is about _________________ years and that he/she is of the required physical standard prescribed overleaf.

Some of his/her particulars are as follows:Weight _____________________ Lbs Chest Unexpanded ___________ inches Height _____________________ inches Expanded __________________ inches

Vision : Left Eye _________________ __________________ Right Eye _________________ Details of glasses (if worn) Marks of Identification ______________________________________________ i) _____________________________________________ ii) _____________________________________________ Any other remarks: ______________________________________________ ______________________________________________

Signature of the applicant (in the presence of the Medical Officer)

Medical Officer of any Govt./Semi-Govt. Hospital /District Medical Supdt/ Commissioned Medical Officers

PHYSICAL AND EYE SIGHT STANDARD FOR ADMISSION

For abscission a candidate must be in good mental and physical health ad free from any physical defect. The fitness requirement are given below:1. 2. Chest expansion not less than 1 inch. Distant vision 6/9 in one eye and 6/12 in the other with or without glasses. He also must have normal field and colour of vision, muscular balance, right vision and binocular vision. 3. The candidate should meet the following standards as well:a) b) c) Hearing is good and there is no sign of ear disease. Speech is with out impediment. Teeth are in good order. He must have 10 sound teeth in the Upper jaw functionally opposed to 10 sound teeth in each Jaw must be molar. Wellfilled teeth will be considered as Sound. d) e) Chest is well-formed and the lungs and heart are sound. He does not suffer from a severe degree of varicose veins. A candidate who had been successfully operated upon is accepted. f) g) h) i) j) k) Limbs are well-formed and developed There is free and perfect motion of all joints. Feet and toe are well formed Does not suffer from any inveterate skin disease Does not have any congenital malformation or defect Does not bear traces of any previous acute or chronic disease pointing to an impaired constitution.

UNDERTAKING
To be submitted by selected candidates only On a Rs. 50/- Judicial paper duly completed

I Mr. / Mrs. ___________________________________________ Son/daughter of Mr. __________________________ provisionally selected for admission to Postgraduate programme of ________________________________________ in the University of Engineering and Technology, Lahore, do solemnly declare that I will have no direct/indirect affiliation with any political party during my stay in the University and shall not indulge in politics.

In case I am found guilty of indulging in politics, I may be expelled from the University without any further notice. Date: Name Address Witness-1 Signature Name Address National I.D. Card No. Signature Name Address National I.D. Card No. Witness-2 Signature

I Mr. / Mrs. ____________________________________________ S/D. O. __________________________________ father/guardian of Mr./Miss. _____________________________________ have read the above undertaking. I do hereby affirm to be responsible, for his/her behavior, during his/her stay at the University. In case he/she violates the above undertaking, I shall have no objection to his/ her expulsion from the University.

Date: Name Address Witness-1 Signature Name Address National I.D. Card No. Signature Name Address

Signature of Father / Guardian

Witness-2

National I.D. Card No.

Attested by District Co-ordination officer / Judicial Magistrate