Professional Documents
Culture Documents
In case of providing false information, candidate will be disqualified and his / her application will not
be considered.
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PERSONAL DETAILS : (Please use BLOCK LETTERS to fill the form)
Name:
Phone #: /
(City code)
Email*:
* It is mandatory for you to have a valid email address as well otherwise your form can be considered INCOMPLETE.
EDUCATION
Attach an attested copy of all the result cards with your application form.
Marks/ Grades School / College
Matric / O-level
Is any member of your family currently studying at LUMS? Yes No If yes, state name and roll number:
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Give details about yourself and your siblings*:
Give details of teacher / headmaster / principal of your institution who knows you personally.
Name: School:
Address:__________________________________________ Tel:________/_____________
(city code)
Email address:
FINANCIAL DETAILS
iii. Agriculture
iv. Commercial
**In this column provide information about who owns the specific asset. It can be your father, mother, brother or
grandfather etc.
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b. INCOME
(Give annual figures for items i, ii, iii, iv v)
Guardian’s / Brother’s
Income Source Father’s Mother’s & sister’s
Profession
i. Agricultural income
(Annual)
ii. Salary / Pension
(Annual)
iii. Returns on Saving
& Investment (Annual)
iv. Rental
Income(Annual)
v. Business Income
(Annual)
Total (I, ii, iii, iv & v)
A: B: C:
Total Income: (A+B+C)
c. EXPENSES
Transportation / Food /
Traveling Expenses / Other
Annual Rent (If Living in a Rented House) Expenses ( per Annum)
ii) And also please specify the purpose for taking the loan ___________________
* Kindly attached the supporting documents in case the loan is from Bank or Employer.
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TUITION EXPENSES:
Please Indicate the total amount of contribution you can make towards
TEST CENTER:
Please choose one of the following centers for Preliminary Evaluation Test
How did you get to know about National Outreach Program? (Tick any one of the following)
Undertaking:
I certify that the information given on this form is accurate to the best of my knowledge. I
understand that any misrepresentation may cause my dismissal from the Programme at any stage.
________________________ ________________________
Applicant’s Signatures Father/Guardian’s Signature