FEE INSTALLMENT FORM
STUDENT’S DETAILS
Name:______________________________________ Registration No. __________________________
Program: _____________ Department: ________________ Session: ___________________________
Mobile: _______________________________ PIEAS Email: ___________________________________
Availing any scholarship (Detail if Yes): Yes/No:______________________________________________
FATHER/GUARDIAN
Father’s / Guardian Name_______________________________________________________________
Professional Status: Employed Retired Business Owner
Mobile no. __________________________ Occupation Type: __________________________________
Designation & Grade: _____________________________ Brothers/ Sisters Studying _______________
Family Income: Total Monthly income in Pak Rs. _____________________________________________
Presently Registered (Spring / Fall) Semester:_______________________________________________
Current Semester Dues:________________________________________________________________
Installment Installment %age Due Date
st
1 Installment 50% 10 February, 2025
2nd Installment 50% 24 March, 2025
Reason:_______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
DECLARATION:
1. I hereby agree that I have applied for the Fee installments for (Spring / Fall) Semester 2025.
2. I will pay 50% of the fee at the time of registration of courses.
3. I will pay the remaining 50% of the fee by the 24 March, 2025.
4. If I fail to pay the remaining 50% of the fee by the 24 March, 2025, then I will
a) Not be allowed to attend the classes.
b) Installment fee plan will be cancelled.
c) Not be eligible for any fee concession in future.
5. I know failure to pay fee installment results in a fine penalty.
Note: The deadline to submit the fee installment form is February 03, 2025. Applications
submitted after this date will not be considered.
___________________
Date: _______________ Signature of Student
FOR OFFICE USE
Remarks by the Program Coordinator:
_____________________________________________________________________________________
____________________________________________________________________________________
Signature of Program Coordinator:________________________
Signature of HOD:________________
Dy. Registrar - II:_________________ Incharge Data Centre:___________________________