UNIVERSITY OF ENGINEERING AND TECHNOLOGY LAHORE
APPLICATION FORM
All the particulars required below should be legibly and accurately filled in by the candidate in his own
handwriting. Only the form complete in all respect would be accepted. The incomplete form would be
returned to the applicant on his permanent address as given below (at. S.No.8). The office will not be
responsible for any delay in case form is not complete in all respect.
Only Part (A) is to be completed by the applicant and the applicant will be submitted to the Controller of
Examinations.
Note: THE INSTRUCTIONS OVERLEAF BE RED COMPLIED STRICTLY.
PART (A)
1. Nature of Document 1. Degree 2. CGPA to Percentage Cert. 3. D.M.C
4.Merit Certificate 5. Bonafide Certificate
6.Any Other:________________________________
2. Name of applicant (in Block Letters) ________________________________
as per Matric Certificate
3. Father’s Name(in Block Letters) ________________________________
as per Matric certificate
4. Name of Examination. ________________________________
5. Year of Passing ________________________________
6. Registration No. ________________________________
7. Habib Bank (Engg.Univ.Br.) Bank Challan No. /
Money Order Receipt / Postal Order No.
(Please attach the Copy No..1) ____________Dated:_______________
8. Permanent Home Address. ________________________________
________________________________
9. I ______________________ Reg. No./ Roll No.__________________________ a student / graduate
of Department of ___________________ do hereby state that no dues of the University outstand
against my name and I have deposited the prescribed fee for the Certificate / Degree applied for vide
Challan No./ Postal Order / Money Order as mentioned above.
10. I solemnly declare that I have filled-up the form and the particulars mentioned therein are correct to
the best of my knowledge and belief.
Dated: __________________ _______________________
Signature of the Applicant
PART (B) IN CASE OF FINAL TERM DMC / DEGREE
It is to certify that the statement of the applicant at S.No.9 has been checked from the office record
and it is correct / incorrect. He has to pay Rs./_________ as outstanding dues.(if any)
Admn. Officer (Dues)
PART (C) IN CASE OF APPLICATION FOR DEGREE ONLY
It is to certify that the photo copy of the Provisional Certificate attached with the application form
has been compared with counterfoil of the original Provisional Certificate and is found correct /
incorrect.
It is to certify that the candidate has successfully completed the Annual Surveying Camp, Summer
Field Training and Underground Mining Engineering Course organized by the University. (For Civil
& Mining Engineering Graduate only)
Deputy Registrar (SS)
Admn. Officer (Exams) Dealing Assistant
(Exams.Br.)
Received the requisite document Signature of Applicant: ____________________
(V2020)