Annex B
1” x 1”
Photograph
BAHRIA UNIVERSITY ISLAMABAD CAMPUS (Qty 3)
Shangri-La Road, Sector E-8, Islamabad
FATIMA HOSTEL
Application Form
Enrollment No: Name:
Department Program Semester:
Gender: Date of Birth: Cell No.:
CNIC#:__________________ Student’s Contact:__________________ Email:
Present Address:_________________________________________________________________
_____________________________________________________________________________
Father’s Name: Contact #:
CNIC#: Email:
Mother’s Name: Contact #:
CNIC#: Email:
Residential / Present Address:
City: Country
Local Guardian’s Name: ______________ Contact #: _____ CNIC#:
Email: ________________ Address: City: Islamabad / Rawalpindi
Relationship with the student: Signature:
Medical History (if any)
Would you like to avail the messing facility Yes No
Blood Group: Emergency Contact No.:
Signatures: Applicant:___________________ Parent ________________ Date: ______
(Please provide copies of ID cards of Applicant, Parents and Guardian)
Kindly attach following documents with the form:
1. CNIC copies of student
2. CNIC copy of both parents
3. CNIC copy of Guardians
4. CNIC copy of Visitors
Instructions:
1. Fill in the form clearly in Capital letters
2. Photographs should be latest and passport size with name at the back
3. Documents can be sent by mail or courior service on the following address:
Fatima Girl’s Hostel
Bahria University
Islamabad Campus
Shangrilla Road
E-8Islamabad
Contact:
92-51-9260002/477/475
92-51-9260694
BAHRIA UNIVERSITY ISLAMABAD CAMPUS
Shangri-La Road, Sector E-8, Islamabad
FATIMA HOSTEL
Visitor’s Permission Slip
Mr./Mrs./Ms. CNIC No.:
Address: Contact No.:
is hereby allowed to visit my daughter / ward
Enrollment No from the Bahria University Fatima Hostel premises.
He / She may be permitted to visit my daughter / ward in accordance with the hostel regulations.
He / She may also be permitted to collect my daughter from the hostel premises when proceeding on
leave. (please delete if not applicable)
This permission is valid for (please tick one as appropriate):
• One time only.
• Till the end of the current semester.
• Permanent, till rescinded.
Please attach the following documents of the authorized visitor:
• Photograph (1” x 1”).
• Copy of CNIC card.
Date Signature
Name
(Parent / Guardian)
CNIC No.
Contact No.
Note: A separate permission slip be submitted for each authorized visitor.
BAHRIA UNIVERSITY ISLAMABAD CAMPUS
Shangri-La Road, Sector E-8, Islamabad
FATIMA HOSTEL
Permission Slip
I hereby allow my daughter Enrollment No.
Department Program Semester
to commute to/from Bahria University Fatima Hostel on her own as and when required.
Bahria University administration will not be responsible for any accident/mishap or her whereabouts,
outside the University premises.
Parent’s Signature
Name
CNIC #
Date