Serial No

Attach
6 Passport
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ADMISSION APPLICATION FORM

Photographs

Name Mr. / Mrs. / Miss .....

Gender:

Male:

Female:

Martial Status:

Single:

Married:

National I.D Card No.

Telephone No:

Res: Off.

Date of Birth:

Day:

Mobile: .

.. Month: .. Year: .... Place of Birth: Country: . City..

Religion. ..

Country of Citizenship.

Fathers Name....
(IN BLOCK LETTERS)

National I.D Card No..

Occupation ..

Email......

Designation:

Office Address
.
.
Telephone No:

Off

Fax.. Mobile..

Present Mailing Address.......

.
.
City Postal Code . Country:

EMERGENCY
PERSON TO BE NOTIFIED IN EMERGENCY
Name. Relationship
Telephone....................... Mobile..
Address
.
.
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PERSONAL DATA
School, College, University / Other institutions attended

INSTITUTE

LOCATION
(CITY /
COUNTRY)

ATTENTED
FORM / TO

TITLE OF DEGREE
CERTIFICATE
SOUGHT

GRADE/
DIVISION

The session you wish to attend at PIMAT?

Morning

Evening

The degree/certificate you wish to complete at PIMAT. (1 st Option) ?

F.Sc in ___________

B.Com ___________

MBA

I.Cs in ____________

B.A in____________

EMBA

I.Com

B.Ed / M.Ed

BEng in Electrical & Electronic

F.A in ____________

M.A in___________

BEng in Civil

B.Sc in____________

BBA (Hons)

BEng in Mechanical

(2nd Option) _____________________

(3rd Option)

________________________

Have you ever been a student at PIMAT?

YES

NO

Have you ever been employed?

YES

NO

Are you currently employed?

YES

NO

NAME OF ORGANIZATON

ADDRESS OF ORGANIZATION

OFFICIAL TEL.

DESIGNATION

NAME OF EMPLOYER

DURATION OF
EMPLOYMENT

EXTRA CURRICULAR
ACTIVITY

ORGANIZATION/YEAR

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ANY POSITION HELD

UNDERTAKING OF STUDENT
I solemnly affirmed and undertake that PIMAT can nullify my admission / enrolment at any stage in case of
following without any recourse on my part:
Any misrepresentation of the data furnished above
Any anti-social activity on my part
Misconduct
Poor Attendance
Violation of policies & Procedure of PIMAT

Name of Student:
(IN BLOCK LETTERS)

Signature of Applicant

Date

Name of Guardian / Parent / Sponsor ..

.
Signature of Guardian / Parent / Sponsor

Date

PERSONAL REFERENCE FORM

Name of Applicant

..
Last / Family

.
First

..
Middle

Proposed Study Program ...

Report Requested From .

I recommend this Applicant as a Candidate for the degree / program for which he / she is applying.

Signature

.. Date

Name

Address

.....

Title ...

...........
..

Institution

.. Affix Institute Stamp.

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Required Documents for Admission:

6 passport size photographs.

2 Attested photo copies of Matriculation Marks sheet/ O Level Marks Sheet

2 Attested photo copies of Matriculation Board Certificate.

2 Attested photo copies of Intermediate Marks Sheet / A Level Marks Sheet

2 Attested photo copies of Intermediate Board Certificate

2 Attested photo copies of Bachelor Marks Sheet ( Applying for Masters)

2 Attested photo copies of Bachelor Certificate ( Applying for Masters)

Undertaking ( in case of result awaiting students)

Applications forms through mail/TCS/Courier require a bank draft of Rs-1000/

in favour of Punjab Institute of Management & Technology - along with admission form
and above mentioned documents. Admission forms are also available on website of
institute.
www.pimat.edu.pk

Application Form without above documents will not be entertained

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