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KPK-Educational Testing and Evaluation Agency (ETEA)


APPLICATION FORM
For Entrance Test for Admission to Non-Engineering
Programmes (B.S Architecture & Computer Science) of UET
Peshawar for 2017-18
Clip/ Staple Paste one recent
recent Passport Passport Size
Size Photograph
Photographs without
(Back Attested) Roll Number:
Attestation here
here (To be filled in by ETEA)

*******************************************************************************************************************

For Admission to: (Please Tick the relevant field)


1) B.S Architecture 2) B.S Computer Science

1. NAME:
(Use Capital Letters)

2. Fathers Name

3. CNIC NO/ Form B NO. - -

4. District of Domicile:

D D M M Y Y Y Y
5. Date of Birth: - - 6. MOBILE NO. 0 3 -
1 9 (Mandatory) You will be informed through SMS

7. Postal Address: ________________________________________________________________________

ACADEMIC RECORD
Diploma / MAJOR BOARD Marks obt./ Grade/ Year of
Certificate SUBJECTS Total marks Division Passing

SSC

F.Sc /DAE

Signature of Candidate _____________________

NOTE:
Rs. 650/- must be deposited in any branch of HBL on the prescribed online deposit slip given on page 2 of this form and Original
Receipt (ETEA copy) should be attached with the Application Form and should be submitted to ETEA office (E8-22, Street-13,
Phase-VII (near Hajj Complex) Hayatabad, Peshawar) through courier service or by hand latest by 17th August 2017. No
Application Form will be accepted after closing Date. ETEA will not be responsible for late receiving of Applications through courier,
i.e. Applications received on 18th August shall not be entertained.

Please Do not Attach any document with the Application Form.


Roll Number Slip/ Admit Card can be downloaded from www.etea.edu.pk on 24 August 2017. You will not be allowed
to sit in the Test without ETEA Roll Number Slip/ Admit Card.
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Educational Testing & Evaluation Agency Educational Testing & Evaluation Agency
ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP
ETEA COPY BANK COPY

Branch Code: _________________ Date: ____/_____/_______ Branch Code: _________________ Date: ____/_____/_______

Branch Name: _______________________________________________ Branch Name: _______________________________________________

HABIB BANK Ltd. HABIB BANK Ltd.

Remote Branch: Arbab Road Br. Peshawar Cantt. (1161) Remote Branch: Arbab Road Br. Peshawar Cantt. (1161)

A/C Title: KP-ETEA A/C No: 1161-79008466-03 (Freedom Account) A/C Title: KP-ETEA A/C No: 1161-79008466-03 (Freedom Account)

Note: 1. Bank Stamp is required on the Deposit slip. Note:


2. Please Send the Original Deposit slip along Application 1. Please Stamp both copies of deposit slip.
Form to the ETEA Office. (Application form without original 2. The Bank Must Return ETEA COPY to the Candidate
Deposit slip will not be entertained.) 3. Deposit Slip will not accepted without Candidate CNIC/B Form No.
3. Freedom Account. No Service Charges 4. Freedom Account. No Service Charges
Applicants Name: Applicants Name:

Fathers Name: Fathers Name:

CNIC No/B-Form No: CNIC No/B-Form No:

Amount (In Rs): 650/- Amount (In Rs): 650/-


Amount (In Words): Rupees Six hundred & Fifty only - Amount (In Words): Rupees Six hundred & Fifty only -

Applicant Signature Cashier Officer Applicant Signature Cashier Officer

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