9/2/2016

StudentEnrolmentPrint

ALLAMAIQBALOPENUNIVERSITY

FormNo 118901

ADMISSIONFORM

FOROFFICEUSEONLY

NAMEOFPROGRAM:B.ED(B.ED(1.5YEARS))

BatchNO

RT

SEMESTER:AUTUMN2016

DOMICILEDISTT

1. RegistrationNo.(IfyouareRegisteredwithAIOU)

PERSONALINFORMATION
3. Name:

Mr. MUHAMMADYASEEN

4. FatherName:

S/O ABDULJABBAR

Mailing/Postal
Address:

MailingDistrict:

Permament
Address:

POSTOFFICECITYRAILWAYSTATIONRINGROADPOSTOFFICECITYRAILWAY
STATIONRINGROAD

PESHAWAR(017)

MailingTehsil:

PESHAWAR(00)

POSTOFFICECITYRAILWAYSTATIONRINGROADPOSTOFFICECITYRAILWAYSTATIONRINGROAD

PermamentDistrict: PESHAWAR(017)

PermamentTehsil:

8.MobileNo:

PESHAWAR(00)

7.DateofBirth:

11121991

03109355130

9.CNICNo/BFormNo:

1730196190463

10.Occupation:

ENGINEER

11.Qualification:

OTHERS

12.Religion:

ISLAM

13.Domicile:

PESHAWAR(017)

S.no

Code

CourseTitle

8601

GENERALMETHODSOFTEACHING(PROFESSIONAL)

8602

EDUCATIONALASSESSMENTANDEVALUATION(PROFESSIONAL)

8603

CURRICULUMDEVELOPMENT(FOUNDATION)

8604

RESEARCHMETHODSINEDUCATION(PROFESSIONAL)

8605

EDUCATIONALLEADERSHIPANDMANAGEMENT(PROFESSIONAL)

8606

CITIZENSHIPEDUCATIONANDCOMMUNITYENGAGEMENT

14.

FOROFFICIALUSEONLY

DISTT
TEH

Coding

EDU

LV

Eligibility

CLUS

ST

BANKCODE

ForAccountUse

FT FEE

NameofBankandBranch
BankChallanNo.
118901
15.
=12340/(twelvethousandthreehundredforty
AmountRs.
only)
Dated
292016

http://online.aiou.edu.pk/print.asp?FormNumber=118901

BANKCHALLANNo.

StudentSignature

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9/2/2016

StudentEnrolmentPrint

16.AcademicInformation
Level

Year

Grade/Division

MajorSubjects

Board/University

Matric

2008

1ST

SCIENCE

BISEPESHAWAR

Intermediate

2011

IST

PREENGINEERING

BISEPESHAWAR

2015

1ST

B,SC(ELECTRICAL(TELECOM))

CITYUNIVERSITYOFSCIENCEANDITPESHAWAR

Graduation
Masters
MS/Mphil
Others

17.ProfessionalExperience(Ifany)
S.No

Organization

JobTitle

MainAssigment

From

To

18.Instructions/RegulationRegardingADMISSION
1.Admissionwillnotbegrantediftheadmissionformisincompleteinanyrespect(e.g.lessfee,unattestedphotocopiesofcertificates,partial
information).
2.Admissionwillnotbegrantediftheformorfeeisdepositedotherthanprocedurementionedintheprospectus.
3.Photocopyoftheaddmissionformisnotacceptable.
4.Candidatesareadvisedtowritetheiraddressclearandlegiblehandwriting.Universityreservestherightnottograntadmissionincaseofpostal
addressgivenwithP.O.Boxnumberorinthecaseofsomeoneotherthancandidate'sname.
5.Pasteonepictureontheaddmissionform.Donotstaple
6.Duringfillingform,pleasewritecoursecodeverycarefullybecausetheadmissionismadeaccordingtocoursecodementionedbystudent.Ifthe
studentleavethecoursecodeshis/heradmissionwillbefinalizedaspertitleofcourses.Incaseofanyfault/discrepencythestudentwillhaveto
depositchangeofcoursefeebeforetheduedateoffirstassigment.Incaseoffailingtodosostudenthimselfwillberesponsibleforit.

19.AFFIDAVIT
IMUHAMMADYASEENS/OABDULJABBARsolemnlyagreethat:
1.InformationgiveninadmissionformforSpring/Autumnsemestersaretruetomyknowledge.Ihavestudied/readalltherulesand
conditionsthroughlybeforefillinginadmissionform.
2.Iwillabidebytheuniversityrulesconstitutedfromtimetotime.
3.Incaseoflitigation,IwillfilemyappealinthecourtsofRawalpindiandIslamabadonly.
4.Myadmissionisprovisionalandtheuniversityreservestherighttocancelmyadmissionandconfiscatemyduesifinformationgivenbyme
isworng.
5.Incaseofadmissionintwoprogramesatatime,theuniversityisauthorizetocanceladmissionofthefreshprogrameandconfiscatefeeas
perrules.
6.Ihavefilledintheadmissionformwiththeconsentofmyparents/guardian.
7.IgivemyconsenttoAIOUtousemyMobileNo.fornecessarycommunicationbetweenAIOUandmyself.
8.Ialsodeclearthatincaseofprovisionofanywrongstatment/informationatthetimeofgettingadmission/deviationfromAIOUprescribed
rules/policyintheadvertisement/Prospectusandsubmissionoffakedegreeorthirddivisiononmypart(student),theuniversityhastherightto
cancelmyadmissionandstopmydegree.
PermanentAddress:
MobileNo:
Dated:

POSTOFFICECITYRAILWAYSTATIONRINGROADPOSTOFFICECITYRAILWAYSTATIONRINGROAD,TehsilPESHAWAR
,DistricPESHAWAR
03109355130
292016

Email:

kyaseen865@gmail.com

SignatureofApplicant

http://online.aiou.edu.pk/print.asp?FormNumber=118901

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9/2/2016

StudentEnrolmentPrint

ALLAMAIQBALOPENUNIVERSITY
CopyNo.1(ForAdmissionDepartment)
ChallanNo:

118901

Date:

Name:

MUHAMMADYASEEN

FatherName:

ABDULJABBAR

MailingAddress:

POSTOFFICECITYRAILWAYSTATIONRINGROADPOSTOFFICECITYRAILWAYSTATIONRINGROAD,Tehsil
PESHAWAR,DistricPESHAWAR

Amount:

=12340/

Amountinwords:

twelvethousandthreehundredfortyonly

Program:

B.ED(B.ED(1.5YEARS))

Semester:

AUTUMN2016

BankBranchCode:

BankOfficerSignature

292016

ALLAMAIQBALOPENUNIVERSITY
CopyNo2.(ForAccountDepartment)
ChallanNo:

118901

Date:

Name:

MUHAMMADYASEEN

FatherName:

ABDULJABBAR

MailingAddress:

POSTOFFICECITYRAILWAYSTATIONRINGROADPOSTOFFICECITYRAILWAYSTATIONRINGROAD,Tehsil
PESHAWAR,DistricPESHAWAR

Amount:

=12340/

Amountinwords:

twelvethousandthreehundredfortyonly

Program:

B.ED(B.ED(1.5YEARS))

Semester:

AUTUMN2016

BankBranchCode:

BankOfficerSignature

292016

ALLAMAIQBALOPENUNIVERSITY
CopyNo3.(ForBankBranch)
ChallanNo:

118901

Date:

Name:

MUHAMMADYASEEN

FatherName:

ABDULJABBAR

MailingAddress:

POSTOFFICECITYRAILWAYSTATIONRINGROADPOSTOFFICECITYRAILWAYSTATIONRINGROAD,Tehsil
PESHAWAR,DistricPESHAWAR

Amount:

=12340/

Amountinwords:

twelvethousandthreehundredfortyonly

Program:

B.ED(B.ED(1.5YEARS))

Semester:

AUTUMN2016

BankBranchCode:

BankOfficerSignature

292016

ALLAMAIQBALOPENUNIVERSITY
CopyNo4.(ForStudent)

ChallanNo:

118901

Date:

Name:

MUHAMMADYASEEN

FatherName:

ABDULJABBAR

MailingAddress:

POSTOFFICECITYRAILWAYSTATIONRINGROADPOSTOFFICECITYRAILWAYSTATIONRINGROAD,Tehsil
PESHAWAR,DistricPESHAWAR

Amount:

=12340/

Amountinwords:

twelvethousandthreehundredfortyonly

Program:

B.ED(B.ED(1.5YEARS))

Semester:

AUTUMN2016

BankBranchCode:

BankOfficerSignature

http://online.aiou.edu.pk/print.asp?FormNumber=118901

292016

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