UNIVERSITY OF THE PUNJAB
ADMISSION FORM (Fall - 2023)
2 3 0 0 2 1 9 7 8 5
Admission Program: BS Political Science, 1st Semester (Morning)
Department of Political Science
Quaid-i-Azam Campus
Form No.: 2300219785 (07/08/2023 09:16 PM) Received/Verified By: _________________
OPEN MERIT
PERSONAL RECORD
Name: Samia Amjad CNIC: 35403-6377531-8
Father Name: Amjad Ali Father CNIC: 35403-9120582-3
Occupation: Teaching F. Income: 40000
(Father/Guardian) (per month)
Guardian Contact: 03310414989 D.o.B: 02/02/2006
Hafiz-e-Quran: No Religion: Islam
Marital Status: Single Gender: Female
Contact No.: 03310414989 Blood Grp: A+ve
Email: samiaamjad156@gmail.com Nationality: Pakistani
Province: Punjab District: Sheikhupura
Permanent Address: Butter Chack 23 Safdarabad District Sheikhupura
Postal Address: Butter Chack 23 Safdarabad District Sheikhupura
DECLARATION AND UNDERTAKING
I, solemnly declare that:
I have neither joined nor shall join any other Institute/Department /Centre/College/School during the course of my studies at University of
the Punjab.
I am not in service /am in service (score out which does not apply). (If in service, a letter of permission from the employer is enclosed)
I am not suffering from any infectious disease.
I understand that the University may vary or reverse any decision made on the basis of incorrect or incomplete information which i have
provided.
I have not yet attained the age of 24 years (for Graduate Level) & 26 years (for Masters Level) programs.
I have read and understood the University's cancellation and refund policy.
I understand that the University may obtain official record from any educational institution I have previously attended.
The entries made in this form are correct.
I, undertake to:
1. Abide by the Statutes, regulations (including the Code of Honour of Students, of University Calendar 1990 Vol. 1) and rules etc. framed by
the University of the Department/Institute/Centre/College/School from time to time and shall be liable to any penalty including
rustication/expulsion, incase of violation on my part.
2. I accept as a condition of my admission the authority of the University that a student can be required to withdraw his name from the rolls, if
in the opinion of the Vice-Chancellor/Director/Chairman/Principal of the Department/Centre/College, his stay is not conducive to the
welfare, either of himself or others in the Department/Institute/Centre/College/School. If the undersigned (student) fail to withdraw my name
immediately after being called upon to do so, it may be struck off the rolls of the Department/Institute/Centre/College/School without any
further notice to me.
3. I am joining this class with the express consent of my father / guardian, who agrees to be responsible for my good conduct and has
appended his signature below in token thereof.
4. Not to "indulge in politics", and in case, I violate this undertaking an "indulge in politics" after my admission by the University, I shall be
liable of expulsion without any notice under the order of the Vice-Chancellor which order shall be final and can be questioned only before
the Supreme Court of Pakistan vide judgment/order of the Supreme Court of Pakistan dated 01 July 1992.
5. I accept as binding on me as long as i am a student, all rules and regulations in force at the time of joining an which might be framed
subsequently.
6. Show good behaiour.
7. Devote whole-heartedly to my studies and maintain the dignity and prestige of the University both in and outside the Campuses.
8. Pay in time all dues and fine, if any.
9. I will notify the new address to Admission Committee (in-case of Graduate & Master level degree program) & Assistant Registrar, DPCC (in-
case of MS/M.Phil & Ph.D level degree program), if there is any change in my contact address/phone number.
10. I undertake to take examination unconditionally notified by the Department/Institute/Centre/College/School.
11. Errors and Omissions excepted (E&OE) and University of the Punjab is not liable to respond any legal or court proceedings.
12. I have read the relevant rules and regulations concerning admission.
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