Contact No:

Name:(In Block Latter)

F. Name:(In Block Latter)FatherCNIC No:

Candidate Thumb Impression

Post Office: Teh:

Village:

District:

House No: Street No: Phase:

(1)

(2)

(3)

(4)

Track Record :- (Start from Last Exam Passed)

Annual Supplementary Male Female Regular PrivateLate College

CNIC No:

Examination Form for: BA B.Sc Session:

Centre for Examination District

University Registration No Date of Birth

Subjects in which to be Examined: (Single part subjects only. Use separate form for each part Exam)

Postal Address:- Signature of Candidate

Rs _______________vide Receipt No___________ Deposited in_____________ Dated: __________________________

FOR OFFICE USEEligible: Not- Eligible: Any Remarks: ______________________________

Checked By___________ Supdtt:__________ A.C.E / DCE _____________(Dealing Assistant)

ACKNOWLEDGEMENT ( for Candidate ) Received an Examination Admission Form from Mr/Mrs/Miss ___________________________________________S.O/D.O ___________________________________________Dated _____________ for B.A/B. Sc Annual / Supply.Examination _______________ Receipt No/Bank Draft No__________________________ Dated ______________University Reg: No. Last Roll No. Year ________________

DEALING ASSISTANT

Name of Exam Roll No A/S Year If passedMarks obtained

If failedName of papers Remarks

FA/FSc (attach DMC) BA/ B.Sc Part-I BA/ B.Sc Part-II

Chances Availed Roll No. Session

1. 2. 3. 4. 5.

StapleAttested

Photograph(White Background)

Roll No.__________

StapleAttested

Photograph(White Background)

Part-I Part-II

FIA (Fail in Aggregate)

Full Failed

Fresh

Subject ChangeSubject change form must be attached with this form

I certify that particulars of the candidate, which are given overleaf duly and signed by him/her have been checked with theoriginal record and found correct. He/she fulfills the requisite conditions and is eligible to appear in the examination

underthe regulations of the University of Haripur. I checked the following list of requirements attached.

List of requirements attached

1. DMCs (last exam) 2. Photos 3. NIC/F.NIC/Domicile 4. Migration Certificate5. Service certificate 6. For admission in Part-II, DMCs of Part-I & II must be attached

HEAD OF INSTITUTION/PRINCIPAL(Please read instruction No. 4)

Name: Signature: Office Seal:

INSTRUCTIONS(Read carefully before filling the form)

1. Examination Admission Form & Fee should reach the University at the same time on or before the due date of admission failing which fee due on the date the form is received will be charged.

2. Examination Admission Forms and fee for Part I and Part II must be submitted separately. No candidate will be allowed to appear in both parts on single Admission Form or single Roll Number.

3. University Registration Number must be mentioned in the Admission Form otherwise Registration Fee will be charged.4. All candidates are required to attach two copies of recent white background photographs duly attested on backside and one copy

of Card/Domicile Certificate duly attested by the Principal concerned. The attestation officer for private candidate shall invariably be the Headmaster/Principal of the school/college last attended. The attestation officer will be held accountable for wrong attestation. Moreover, the candidate affixed thumb impression

in the presence of attesting authority.5. Private candidates shall attest their admission from and photographs from any Govt. Gazetted Officer.6.Examination Centres will be allotted to the candidates on their permanent viz at per NIC address only. “Care of” address is not acceptable even for mailing.7. Fee once deposited is neither refundable nor adjustable if the candidate is eligible.8. Current DMC’s must be attached with the Admission Form.9.Candidate who passed their Intermediate/Diploma examination from any Board shall be required to pay Rs. 500/- (for regular candidates) & Rs. 1000/- (for

private candidates) as Registration Fee alongwith the examination admission fee. Such candidates will be required to attach Original Migration certificate as well.10.Federal/Provincial Service Personnel or their children who are not permanently residing in the jurisdiction of Peshawar University shall be required to attach

service certificates of their own or their parents alongwith admission form. Service certificate of private service shall not be acceptable.11.All candidates of BA/BSc, MA/MSc will avail a maximum of FIVE and FOUR consecutive examinations for Part I and Part II respectively, including the initial

one to clear all the papers, failing which he/she shall be required to appear in all subjects including practical examinations as a whole.12. Incomplete/unsigned Form shall not be entertained.13. Admission Fee by Money Order/Cheque shall not be accepted.14.Every candidate must sign the Admission Form himself. In case of variation in signature from I.D. Card the candidate will face Impersonation charges.15.In case of compartment the candidate having missed two consecutive chances (availed/un-availed) shall have to appear afresh in the full examination.16. Two different examinations are not allowed in one session except examination for the improvement of division as permissible under the rules.17.For improvement of division, the candidates will be required to appear either in both parts simultaneously or in the final examination only. They have two

such chances to appear in the syllabus in vogue of the relevant examination within two consecutive years.18. Aggregate failed candidates can improve their aggregate not in more than two subjects.19.A candidate having passed the lower level examination shall be required to appear in the higher level examination within a period of three consecutive years,failing which the candidate will loose the right of claim to the lower level result and shall appear afresh (in the lower examination only).

20.POSSESSION OF MOBILE PHONE IS NOT ALLOWED IN EXAMINATION CENTER. IF ANY ONE FOUND IN POSSESSION, HIS/HER EXAMINATION WILL BE CANCELLED, BESIDES FORFEITURE MOBILE SET.21. Form will not be accepted without photograph. Moreover photograph should be in National Dress.

CERTIFICATE

(If unregistered with UoH)

(If applicable)