Scribd
Upload
122 views3 pages

MUET Smart Card Registration Form

Masroor Anwar has submitted a form to Mehran University of Engineering & Technology to register for a duplicate smart (student ID) card. He is an undergraduate student in the Department of Architecture with enrollment number 0 and roll number 16PG17. He has provided his personal details including name, father's name, date of birth, address, CNIC number, mobile number, and email. The form also documents his program, date of admission, known medical conditions, and emergency contact. It requires signatures from the applicant and chairperson to verify the information and process the duplicate card request.

Uploaded by

Sahito Masroor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
122 views3 pages

MUET Smart Card Registration Form

Masroor Anwar has submitted a form to Mehran University of Engineering & Technology to register for a duplicate smart (student ID) card. He is an undergraduate student in the Department of Architecture with enrollment number 0 and roll number 16PG17. He has provided his personal details including name, father's name, date of birth, address, CNIC number, mobile number, and email. The form also documents his program, date of admission, known medical conditions, and emergency contact. It requires signatures from the applicant and chairperson to verify the information and process the duplicate card request.

Uploaded by

Sahito Masroor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MEHRAN UNIVERSITY OF ENGINEERING & TECHNOLOGY,

JAMSHORO

INFORMATION COMMUNICATION & PROCESSING CENTER


SMART (STUDENT ID) CARD REGISTRATION & SERVICES FORM
Registration 27710 Applied For duplicate
Bank Challan No. Date of Payment
Name Masroor Anwar Father's Name Muhammad Anwar
Surname Sahito Date of Birth 1997-04-08
Address sardar colony kazi ahmed City Shaheed Benazir Abad
Province Sindh Country PK
CNIC No. 45401-8235971-1 Mobile No. 03053893727
Email [email protected] Programme under graduate
Department Architecture Roll No. 16PG17
Date of Admission 2016-01-01 Enrollment No. 0
Emergency Contact
Zaheer Anwar Phone/Mobile 03003225606
Person
Known Medical
NIL Blood Group AB+
Conditions
Passport

Signature of Applicant Chairman or Chairperson(UG)/Director(PG)

Note: Please attach a photocopy of valid ID Card / Enrollment Card / Admission Letter

For Library Membership Verification For Office Use Only


Bank Challan No. & Date Form Received Date
Expected Card Delivery Date
Signature & Stamp of
Library focal Person Signature of Smart Card focal
Person

Acknowledgement of Receipt Expected Card Delivery Date


This is to acknowledge that Masroor Anwar of Dept. Architecture bearing Roll no. 16PG17 has submitted
form on ___________.
Recevied By _______________
MEHRAN MEHRAN MEHRAN MEHRAN
UNIVERSITY UNIVERSITY UNIVERSITY UNIVERSITY
A/C No: 00720007023903 A/C No: 00720007023903 A/C No: 00720007023903 A/C No: 00720007023903
HBL MUET University Sub-Branch HBL MUET University Sub-Branch HBL MUET University Sub-Branch HBL MUET University Sub-Branch
Jamshoro Jamshoro Jamshoro Jamshoro
Challan No: 27710 Challan No: 27710 Challan No: 27710 Challan No: 27710
Reg No: 27710 Reg No: 27710 Reg No: 27710 Reg No: 27710
Full Name: Masroor Anwar Full Name: Masroor Anwar Full Name: Masroor Anwar Full Name: Masroor Anwar
Roll No: 16PG17 Roll No: 16PG17 Roll No: 16PG17 Roll No: 16PG17
Amount Amount Amount Amount
Description Description Description Description
(PKR) (PKR) (PKR) (PKR)
Duplicate Card Duplicate Card Duplicate Card Duplicate Card
Rs. 1000.00 Rs. 1000.00 Rs. 1000.00 Rs. 1000.00
Processing Fee Processing Fee Processing Fee Processing Fee
Total Amount Total Amount Total Amount Total Amount
Payable Rs. 1000.00 Payable Rs. 1000.00 Payable Rs. 1000.00 Payable Rs. 1000.00
Not Refundable Not Refundable Not Refundable Not Refundable
___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________
Manager Cashier Manager Cashier Manager Cashier Manager Cashier
Bank's Copy Account's Branch Copy ICPC's Copy Candidate's Copy

You might also like