OFFLINE APPLICATION FORM 2017-18 USE ONLY BLOCK LETTERS

PERSONAL INFORMATION: Applicant No.

Program

Applicant Name

Gender

Father Name

Date of Birth

Guardian

Relationship with Guardian

Nationality

CNIC or B-Form No.

Please attach recent colour photograph here

Postal Address Permanent Address City

Email Address

Country

SIBLINGS IN HU (IF ANY): Name 1

Roll Number

Name 2

Roll Number CONTACT INFORMATION: Father Contact No.

Student Contact No.

Please select from below the field () of study in order of preference for which you are applying: Undergraduate Program B.E. Electrical Engineering

M.B.B.S

B. Ed. (Hons) 4 Years

B.E. Mechanical Engineering

B.D.S.

B.Ed. (Hons) 2.5 Years

B.S (Computer Science)

Pharm. D

B.Ed. (Hons) 1.5 Years

B.B.A (4 Years)

B.E.M.S. (Bachelor of Eastern Medicine and Surgery)

ADE 2 Years

L.L.B (5 Years)

BS (Linguistics) Graduate Program

M.B.A. (1.5 Years)

M.E. (Electrical Engineering) with specialization

M.B.A. (2.5 Years)

Control Automation

M.B.A. (3.5 Years)

Power System

M.E. (Energy Engineering)

M.S. Energy & Environment

M.S. (Computer Science) with specialization

Specialization in : HRM

MIS

Marketing

Finance

Supply Chain Management

Healthcare Management

Project Management

Communication Systems & Networks

Software Engineering M.Ed.

M.Phil Pharmacy Pharmacology Pharmaceutics Pharmaceutical Chemistry Pharmacognosy

Electronics

P.hD. Eastern Medicine Eastern Medicine (Mualijat)

Engineering Computer Science Electrical Engineering Energy & Environment Eastern Medicine Eastern Medicine (Mualijat)

Medical FCPS Part II Pharmacy Pharmacology Pharmaceutics Pharmacognosy

EDUCATIONAL DETAILS: Pre requisite Qualification

Qualification

Year of Passing

Obtained Marks

Total Marks

Percentage

Institute

Board

SSC Part II /O-Level HSC Part l HSC Part (l & II) /A-Level DAE Graduation Masters Others Result status of final degree examination please tick

Declared

Do you want to apply on only the basis of SAT II Subject Test Score of Physics,

Not Declared

Will be declared by 15-09-2017

Yes

No

If yes, score of SAT II Tests (if available):

Yes

No

Chemistry & Maths level II? Please tick.

Result of SAT II Tests must reach

Do you want to apply on the basis of HU Admission Test and on the SAT II Scores? Please tick.

Centralized admission office HU By 15-09-2017

Documents Required with the Application Form: • Copy of SSC mark sheet • Copy of SSC certificate • Copy of HSC-Part l mark sheet • Copy of HSC-Part II mark sheet (if completed) • Copy of HSC-Part II Admit card (result Awaiting candidate) • Copy of O-level/A-level equivalence Certificate • Copy of CNIC or Form ‘B’ • Paid Fee voucher of Processing Fee The following documents must reach Centralized Admission Office not later than the advertised deadline at the following address and preferably, documents should be sent through Pakistan Post, TCS, OCS or Leopard services. Centralized Admission Office Address: Plot No.ST-2 Block L North Nazimabad Karachi.

Declaration by the Candidate I hereby affirm that the information given in this application is true and correct to the best of my knowledge & I understand that: 1. Any wrong information by me will be sufficient cause for cancellation of this application or immediate dismissal later on even if I have been selected for admission. 2. If selected for admission I will abide by all the rules and regulations now in force or may become effective after I have joined.

Name & Signature of the Parent / Guardian: __________________

Signature of Applicant

Applicant's Signature: __________________

Signature of Parents

Date: __________________

Receiver’s Signature (For Office Use Only)

OFFICE COPY

OFFLINE DEPOSIT SLIP

UBL United Bank Limited (Payable at any Branch in Pakistan)

Branch Code: 0605 Date: A/C No: 205787423 A/C Title: HAMDARD UNIVERSITY KARACHI

STUDENT COPY

OFFLINE DEPOSIT SLIP

UBL United Bank Limited (Payable at any Branch in Pakistan)

Branch Code: 0605 Date: A/C No: 205787423 A/C Title: HAMDARD UNIVERSITY KARACHI

BANK COPY

OFFLINE DEPOSIT SLIP

UBL United Bank Limited (Payable at any Branch in Pakistan)

Branch Code: 0605 Date: A/C No: 205787423 A/C Title: HAMDARD UNIVERSITY KARACHI

CNIC/B-Form No.

CNIC/B-Form No.

CNIC/B-Form No.

Applicant Name:

Applicant Name:

Applicant Name:

Father’s Name:

Father’s Name:

Father’s Name:

Contact No.

Contact No.

Contact No.

Amount Rs. 1500/-

Applicant’s Signature

Amount In Fifteen Hundred Words Rs: Rupees Only

Cashier

Officer

Amount Rs. 1500/-

Applicant’s Signature

Amount In Fifteen Hundred Words Rs: Rupees Only

Cashier

Officer

Amount Rs. 1500/-

Applicant’s Signature

Amount In Fifteen Hundred Words Rs: Rupees Only

Cashier

Officer