University Road, Karachi-75270 Serial No: 15012823 APPLICATION FOR ADMISSION TO THE FIRST YEAR OF BACHELOR PROGRAMMES FOR THE ACADEMIC SESSION 2014-15 Pre-Engineering Pre-Medical Computer Science Commerce The Registrar NED University of Engineering & Technology, University Road Karachi. I hereby apply for the admission to the First Year of Bachelor Programme of the University under the Category No(s): (1) R-1(a), (2) SF-1(a) (i) Name: KASHMALA YAMEEN (ii) Father's Name: MUHAMMAD YAMEEN KHAN (iii) Guardian's Name/ Relation: - / - (iv) Date of Birth: 28-Apr-1996 (v) Gender: FEMALE (vi) CNIC No.: 42101-2964263-0 (vii) Domicile: SINDH (viii) a) Present Address: FLAT # C-8, HAROON HEIGHTS, SEC 11-K, NORTH KARACHI b) Cell No.: 03330280469 c) Tel. No.: 021-36987864 d) Permanent Address: FLAT # C-8, HAROON HEIGHTS, SEC 11-K, NORTH KARACHI (ix) H.S.C.: (Pre-Engineering) a)Board of Intermediate Education, Karachi. b) Year of Passing: 2014 c)Marks Obtained:723 d) Seat No.920244 e) Marks Sheet No.: 00229070-1 f) Year of improvement (if applicable): - g) Marks obtained: - IF APPLICABLE: (x) Hafiz-e-Quran: No Certificate issued by: N/A (xi) Additional Paper: Year: - Seat No.: - Marks Obtained: - __________________ Signature of Applicant __________________________________________________________________________ FOR OFFICE USE ONLY: Adjusted Marks: Enrolment No.: NED Class Roll No.: Signature of Deputy Registrar (Academics): Discipline: Page 1 of 5 INSTRUCTIONS FOR THE APPLICATION FORM 1. Incomplete application shall not be considered. 2. The application shall be rejected summarily in case the applicant is found guilty of suppression or misrepresentation of material facts. 3. Applicants applying on any fake marks sheet or documents shall be reported against with the law enforcing agencies by lodging FIR against them. 4. Documents to be submitted Signed Application Form (Provided information through the Online System must be SAME as in the Submitted Form) Domicile of SINDH (Except for Category SF-8, SF-9(c) and SF-11) (Attested Copy) Recent Passport size Photograph with WHITE BACKGROUND (Two Photographs, in case of sending through Courier) S.S.C. Pass Certificate and Marks sheet (Attested Copies) H.S.C./ 12 Grade Marks sheet/ A-Level Statement of Result (Attested Copy) Inter Board Committee of Chairmen (IBCC) Certificate, if applicable (Attested Copy) CNIC/B-Form of Student (Attested Copy) CNIC of Father/ Guardian (Attested Copy) Signed Annexure-1 and Annexure-2 Forms will submitted at the time of Medical Fitness Test (For successful candidates only) Attested Copies of additional document(s)/ certificate(s) may be required against some categories, for details please see the university prospectus available on University Website. 5. Submission of Documents All the documents as mentioned above must be sent to Admission office, NED University: By uploading clearly readable scanned documents on the website OR Through courier service on the following address Registrar NED University of Engineering & Technology, University Road Karachi - 75270 Undergraduate Admissions 2014-15 NOTE: The documents should reach to NED University latest by 11th October 2014. 6. Clearly mention your Voucher No./Reference No. on envelope, in case of sending through Courier 7. Payment of Fee You are required to pay the following fee in any branch of Habib Bank Limited(HBL), National Bank of Pakistan(NBP) and Habib Metropolitan Bank Limited(HMB) in the account as below: Application Fee Rs. 653000 /- Account Details 1. Bank Name: Habib Bank Limited (HBL) Account Title: NED UNIVERSITY OF ENGINEERING & TECHNOLOGY Account No.: 0042-79015114-03 2. Bank Name: National Bank of Pakistan (NBP) Account Title: NEDUET NIDA ACCOUNT Account No.: (14)2-4 3. Bank Name: Habib Metropolitan Bank Limited (HMB) Account Title: NED UNIVERSITY OF ENGINEERING & TECHNOLOGY Account No.: 6-01-50-20347-714-110732 Page 2 of 5 Annexure-1 UNDERTAKING 1. I undertake that the particulars given above are correct. 2. I fully understand that; 2.1 My selection will be only provisional in the first instance which will be subject to correction and rectification in the light of facts discovered at any time later. 2.2 I will have to submit a certificate of physical fitness from University Medical Officer on admission or as and when required by the University. 2.3 The selection in the Bachelor Programme as well as discipline in case of B.E will be decided by the University on the basis of merit in accordance with the maximum capacity of seats. The decision of the University in this respect shall be binding upon me and if admitted in any Bachelor Programme or discipline in case of B.E, I will not be allowed transfer to any other Programme or discipline of the University. 2.4 If I do not report for admission and pay all the required fees by the due date given by the University, my admission is liable to be cancelled. 2.5 If any mistake is detected at anytime, the mistake will be corrected, and the decision of the University shall be final and binding on me 3. I also undertake, if admitted, to abide by the following: 3.1 that during my stay in the University, I shall diligently apply myself to acquire and develop the skills necessary for the practice and advancement of my field of study; 3.2 I shall participate in sports, games, extra-curricular activities as would be compatible with my traits and aptitude; 3.3 I shall devote fully to my studies and shall maintain minimum attendance of 75 percent in order to qualify for appearing in examinations; 3.4 that I shall maintain identity as a student of the University by wearing uniform/dress and/or badge as may be prescribed by the University; 3.5 I shall carry my identity card with me while in the University premises and shall produce it for inspection whenever required; 3.6 that I shall never use violence, threat or pressure, and in any disputes with others, all means and methods shall only be logic, persuasion, petition, appeal, revision, review and other legal and peaceful methods for settlement of differences and disputes; 3.7 that in my disputes, if any, with fellow students or teachers or employees of the University, I shall accept the judgment of the authorities constituted by the University for decision or settlement of the wrong doers; 3.8 that I accept all provisions of the statutes, regulations and rules in force in the University, or the statutes, regulations and rules as may hereafter be framed by the appropriate authorities of the University; 3.9 I shall not carry with me any objectionable material in the examination hall and shall volunteer to be searched if necessary before entering examination hall and shall abide by all rules related to examinations; 3.10 I shall do all the assignments and attend tutorials and seminars to the satisfaction of my teachers; 3.11 I shall undertake to do such academic and manual work as may be assigned to me by the University as a compulsory part of the requirements for the award of degree; 3.12 I shall maintain discipline and good conduct and will not take part in any subversive activities 4. Further, I undertake to refrain from; 4.1 doing anything which may cause injury or insult to the Vice-Chancellor, teachers, officers and other staff of the University; Page 3 of 5 4.2 holding a gathering, or meeting, or taking out processions in any part of University campus than areas specified for the purpose; 4.3 indulging in any kind of unfair means, malpractice in examinations, and coercion by any means; 4.4 allowing or abetting the entry to the premises of University of expelled students, anti-social elements or other groups whose presence on the Campus could cause conflict amongst the students; 4.5 bringing into the Campus, consuming or encouraging consumption of alcoholic products, drugs and narcotics, and indulging in acts of moral turpitude; 4.6 bringing or keeping any type of weapons within the University premises; 4.7 using or occupying any room or part of any building of the University without lawful authority; 4.8 damaging any University property including building, equipment, vehicles etc. in any manner: 4.9 from all such acts and deeds as might bring disgrace and bad name to the University. 5. I understand and agree that the University will not be responsible for my transport to or from the University 6. I pledge to confine my activities to the academic pursuits only as a student and not indulge in any political activities directly or indirectly at the campus and hostels-sponsored or promoted by political parties and organisations working within or outside the country and that University is authorised to expelled me without notice, if I indulge in any un-wanted activities. I fully understand that in case of breaking my pledge, I shall be liable to be expelled from the University and its allied institutions. Place _____________ Date _____________ ___________________________________ Signature of the applicant in the presence of ____________________________________ Witness No. 1 ____________________________________ Signature of parent/guardian of the applicant Signature with official seal, name and address Witness No. 2 ____________________________________ Signature with official seal, name and address (The witness must be a Government Officer of Grade 17 or above) Page 4 of 5 Annexure-2 DECLARATION BY PARENT/GUARDIAN I, MUHAMMAD YAMEEN KHAN son of MUHAMMAD YAMEEN KHAN (Name of parent / guardian of applicant) (Name of parent / guardian's father) adult, resident of FLAT # C-8, HAROON HEIGHTS, SEC 11-K, NORTH KARACHI (Address of parent / guardian) religion: ISLAM Occupation: OTHER (Designation / Organization) Cell No: 03332110588 Email Address: OSAMAKHAN.CA@GMAIL.COM do hereby state on solemn affirmation as under:- 1. That my daughter KASHMALA YAMEEN (Name of applicant) is submitting this application for admission in the NED University of Engineering & Technology, Karachi (hereinafter referred to as the University) with my knowledge and consent and have fully read and understood the terms & conditions mentioned in the prospectus and advertisement. 2. That I hold myself responsible for the good conduct and behaviour of my daughter, and for the payment of full educational expenses that may be incurred during the entire of her studies at the University and shall pay to the University the arrears that may fall due on her account. 3. That I bind myself to the declaration signed by my daughter submitted to the University by her with this application. 4. That my monthly income from all sources is Rs.40000 /- ( Fourty Thousand only ) ( in words ) and I have 5 dependants including the applicant. 5. That in the event of any injury, loss or damage sustained by my daughter, during the course of her studies or her attendance at the University, I, my daughter, my dependants or representatives shall have no claim for damages or compensation whatsoever, and I indemnify the University, its Vice- Chancellor, Officers and employees against such claims. Signature of parent/guardian of the applicant Solemnly affirmed and accepted before me this day of 20 by (State Date) (State Month) Mr./Ms. MUHAMMAD YAMEEN KHAN who is identified by Mr. (State name of father/guardian) (State name of person identifying) who is personally known to me. Date _____________ Signature of Oath Commissioner Page 5 of 5