SEPARATE FORM TO BE SUBMITTED FOR EACH GROUP & ADMISSION BASE BASIS OF ADMISSION

OK

NOT OK

(For office use only)

Application for admission to FA/FSc/ICom 2011 (Please read instructions/conditions overleaf. The declarations must be signed by the applicant and his father/guardian)
Group
Pre-Medical Pre-Engineering Computer Science General Science Commerce Arts (Humanities)
Please tick ( ) the group for which the application is being submitted and write the relevant Set No. For subject combination as mentioned in the prospectus.

GC UNIVERSITY LAHORE

For Bank Use Only Name of Applicant Date of Issue Date of Receipt Signature of Bank Officer with Stamp

Please Affix Attested Photograph 1.5 x 1.5

(For Office Use Only)

GCU Roll No.

(USE CAPITAL LETTERS ONLY)

Board Registration No. (For office use only) Form No.

PERSONAL DATA (IN CAPITAL LETTERS, AS PER SSC)

Candidates Name
Candidates Date of Birth (As per SSC)

Religion:

Fathers Name NIC No.

Fathers/Guardians Occupation: Local Phone (Lhr) : E-Mail: Ph. Res. Off. District: Mob.

Fathers/ Guardians Name & Address Present Address

Academic Record
Year Roll No. Marks Obtained Max. Marks Division/ Grade Subjects Name of School Name of Board

Set No.
Desired Subjects for Study (For Foreign Students)

(Set No. in Arts (Humanities) has to be selected in accordance with the sets given in the Prospectus on page No. 29
Islamiat/ Pak Studies Urdu English English 4 4 5 5 6 6

Fathers/ Guardians Signatures Name

Admission Committee: Name ADMITTED

Applicants Signatures

YES

NO

Registrar:

TO BE FILLED IN BY THE CANDIDATE

Signature of Bank Officer with Stamp Form No. Name of Applicant Group Date of Interview/Trial/Test Admission to Intermediate 2011 Fathers Name Basis of Admission Marks Date

Please affix attested photograph 1.5 x 1.5

NOTE:- The candidate must keep this receipt/slip to be produced at the time of interview/trials. Entry into the campus will not be allowed without this slip.

DECLARATION OF THE APPLICATION 1. I solemnly declare that I have submitted the application with the consent of my father/guardian. 2. I pledge to abide fully by the Rules and Regulations of the GC University Lahore and shall not take part in political activities of any kind. 3. I pledge that I will not keep in my possession weapons of any kind whether licensed or unlicensed. 4. I affirm that I was neither expelled/rusticated by any Institution at any time, and no disciplinary action was taken against me. 5. I affirm that I have not taken admission to any University or institution; I also affirm that I shall not take admission to any institution during my stay in the University. If proved otherwise at any stage or time, my admission may be cancelled forthwith and all the dues paid by me be forfeited. 6. I understand that if my attendance %age is not upto the required standard by the Board of Intermediate and Secondary Education i.e. 75%, I will not be eligible to sit in the final examinations and I will take the Board's exams in the following year after fulfilling the requirements under the Examinations Rules, Regulations and Policy of the Board. 7. I affirm that if at any stage the documents submitted by me for admission are proved forged, fake or mis-stated or erroneous that may affect my merit, I shall be responsible and the University shall be rightful to cancel my admission and to take necessary action against me. 8. I declare that I will not join any political organization or student organization, if I do so the University Administration will have the right to strike my name off the University Rolls. For Students who have opted English Literature/Fine Arts as elective subject. 9. I have opted English Literature/Fine Arts as elective subject, I undertake that in case I do not qualify the test in English Literature or Fine Arts Proficiency test I will be bound to take some other subject in place of English Literature/Fine Arts in accordance with the sets mentioned in the university Prospectus. Applicants Signature ___________________ Name: _______________________________ DECLARATION OF THE PARENTS I declare that in case of admission of my son/ward to the GC University Lahore. 1. I (father/guardian) will be responsible for the payment of University fee and other dues revised from time to time. 2. I will be responsible for making up for any loss or damage caused by my son/ward to the university building during the course of his stay in the University. 3. If during the course of his studies, he takes part in any political activity or seeks membership of any political or student's organization or violates the discipline of the University including its hostels or takes part in any illegal / objectionable / criminal activity inside or outside the University, reported directly or indirectly, I will be responsible personally for it and affirm that the Vice Chancellor is fully competent to strike off the applicant's name from the University Rolls. 4. I understand that if the attendance % age of my son/ward is not upto the standard required by the Board of Intermediate and Secondary Education i.e. 75%, he shall not be allowed to sit in the Final Examinations, and he shall have to take the exam in the following year after fulfilling the requirements under the Examinations Rules, Regulations and Policy of the Board. 5. I affirm that the Vice Chancellor can debar a student from appearing in the Board Examination for lecture shortage, and I also affirm, that the Vice Chancellor has the authority to strike off a student's name from the University Rolls as a punishment for the infringement of University Rules and Discipline. 6. If the documents submitted by my ward for admission are proved incorrect at any stage or found to be fake or false that may affect his merit I will be responsible and the University will be authorized completely to cancel his admission and take disciplinary action against him. Date ________________ Father's/Guardian's Signature _________________ Name ____________________________________ Address __________________________________ _________________________________________ Please Check Did you fill/attach in the following important Information? 1. 2. 3. 4. 5. 6. 7. Name Date of Birth Fathers/Guardians Name and Address Permanent Home Address and Phone Examination Result Card Subjects you wish to study Set No. of your combination Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No

Have you enclosed the following information? 1. 4 attested Photocopies of the SSC (Matriculation Certificate). 2. Attested Character Certificate from the Principal/Headmaster of School last attended. 3. Attested Photocopy of Father's/Guardian's National Identity Card. 4. 3 latest attested photographs with size 1.5x1.5. 5. Also, please do not forget to attach the required certificate/proof on the basis of which you are applying against a reserved seat. Applications are required to bring with them the following documents at the time of interview. 1. Original SSC (Matriculation Certificate). 2. Original Character Certificate. 3. Father's/Guardian's Original National Identity Card. 4. Eligibility certificate for students applying against reserved seat. 5. NOC from other than Lahore Board. Note: 1. The admission form must be deposited in the same branch of UBL from where it has been obtained. 2. Incomplete admission form will not be considered for admission.