Admission Form
Content
1
UNIVERSITY OF SARGODHA
Admission Form for Pharm-D (5 Years Course) (Annual System)
Mention Professional___________________
Regular
Late College
( T i c k
Fresh
t h e
The Candidate
must paste here a
recent coloured
photograph
Compartment / Failed as a whole
r e l e v a n t
b o x e s )
1. Name of College _______________________________________________
2. Registration No. University of Sargodha
3. Name of the Candidate (in block letters)
Do not staple or
pin up
Form No. __________
4. Candidate’s N.I.C. No.
5. Father’s Name (in block letters)
6. Religion ________________
7. Nationality ____________
8. Sex (Male or Female)
9. Name of City / Town opted for Centre __________________________________________________
10.
Information about F.Sc. or equivalent Examination Passed:
st
Examination
nd
1 or 2
Annual
Year
Roll No.
Marks
nd
rd
Division
th
Board
th
Information about Latest Passed Exam: (only for 2 , 3 , 4 & 5 Professional Students)
st
Examination
nd
1 or 2
Annual
Year
11. Present Address (in block letters)
Roll No.
Marks
University
_____________________________________________
_____________________________________________
12. Permanent Address (in block letters)
_____________________________________________
_____________________________________________
13. Mention Subjects in which to appear
i. _____________________________ iv. ________________________ vii. __________________________
ii. _____________________________ v. ________________________ viii. __________________________
iii. _____________________________ vi. ________________________ xi. __________________________
xi. _____________________________ xi. ________________________ xii. __________________________
14. For Compartment / Failed as a Whole candidates only (information about the last chance availed)
Year of last appearing in Pharm-D _________ Prof. ________ Annual Exam, 200 ___ Under
1st or 2nd
Roll No. ______
Declaration:
1. I declare that all the particulars mentioned above are correct and in case of any difficulty
arising out of inaccuracy therein, I shall be responsible for the same.
2. I shall not take part in walk out or protest in any paper during the examination.
Signature of the Candidate ___________
Rupees. Rs. 30
Online downloaded
Signature of Principal
With office Stamp
2
UNIVERSITY OF SARGODHA
ADMISSION FORM
Form No.
______
PHARM-D (5 YEARS COURSE) (Annual System)
Mention Professional.__________
Mention First Annual or Second Annual Examination 20 ____.
THE CANDIDATE IS DIRECTED TO READ AND COMPLY WITH THE
INSTRUCTIONS PRINTED AT PAGE 3 CAREFULLY BEFORE FILLING IN THE
ADMISSION FORM. INCOMPLETE ADMISSION FORM SHALL BE REJECTED
AND RETURNED FORTHWITH. THE UNIVERSITY SHALL NOT TAKE ANY
RESPONSIBILITY FOR THE CONSEQUENCES. PARTICULARS MENTIONED
BELOW ARE TO BE FILLED IN BY THE CANDIDATE NEATLY AND LEGIBLY IN
HIS / HER OWN HAND WRITING WITH BLUE BALLPOINT / PEN.
Paste one
attested recent
coloured photo
Male / Female
1.
Name of the College ________________________________________
2.
Registration No. _________________________
3.
Name of the Candidate in English __________________________________________________
(Block Letters)
National I.D Card No. ____________________________________________________________
4.
5.
6.
7.
Father’s Name in English _________________________________________________________
(Block Letters)
Male or Female _______________ 6. Religion __________ 7. Nationality ________________
i).
Fee Paid Rs. _________________ Bank Challan No. _______________ Dated _____________
Habib Bank Ltd. Branch _________________________________
City / Town opted for the Examination Centre ________________________
Names of compulsory / optional papers in which to appear.
Compulsory / Optional Papers
_________________________________
ii).
________________________________
iii).
_________________________________
iv).
________________________________
v).
_________________________________
vi).
________________________________
vii).
_________________________________
viii).
________________________________
ix).
_________________________________
x).
________________________________
xi).
_________________________________
xii).
________________________________
10.
The year of passing F.Sc. or equivalent Examination 1 or 2
8.
9.
st
nd
Annual______________________
Roll No. _____________ Name of the Board _________________________________________
11.
st
nd
Information about Latest Passed Exam: The year of passing Pharm-D. ___________ Professional, 1 /2
nd
rd
th
th
Annual Examination 20 ___ Roll No. _________marks obtained __________ (Only for 2 , 3 , 4 , 5
Professional candidate)
13.
FOR EXEMPTION / COMPARTMENT CANDIDATES WHO HAVE ALREADY APPEARED IN
PHARM-D EXAMINATION AND FAILED.
st
nd
Year of appearing in Pharm D __________. Professional _____ 1 /2 Annual Examination ________ under
Roll
No. ____________ and eligible to reappear in Paper/s.
1.
________________________________
2.
_______________________________
3.
________________________________
4.
_______________________________
5.
________________________________
6.
_______________________________
7.
________________________________
8.
_______________________________
Declaration: - I hereby declare that:- 1) All the particulars mentioned above are correct and that in case of any
difficulty arising out of inaccuracy therein, I shall be responsible for the consequences.
2. I shall not take part in walkout or protest in any paper during Examination.
3. I have read the instructions carefully given at the back of this page & Roll No. Slip and shall abide by them.
Signature of the Candidate
Permanent Home Address
_____________________________
Full Present Address
________________________________
_____________________________
________________________________
_____________________________
________________________________
Price: - 30 Rupees
Online downloaded
3
IMPORTANT INSTRUCTIONS
1.
The candidate is directed to read instructions hereunder before filling in the Admission and Fee Receipt
Forms carefully. The Admission Form will be liable to be rejected if correct Registered No. is not mentioned or
incomplete or incorrect entry is made in the Form. The incomplete Admission Form shall be rejected and returned
forthwith. The University shall not take any responsibility for the consequences.
2.
Each candidate (Male / Female) must paste latest passport size Photographs, duly attested at the specified
places in the Admission Form.
3.
The Examination begins on the date/s given in the Date Sheet. Every candidate must keep his / her
National Identification Card with him / her in the Examination Hall while taking the Examination.
4.
The Admission Form will be entertained only if the attested photocopy of the Registration Card, issued by
the University, is attached with the Form alongwith other documents.
5.
The candidates must attach attested copies of latest pass result card and Computerized National Identity
Card. The compartment/ failed as a whole candidates must attach attested copy of latest fail result card and
Computerized National Identity Card.
CERTIFICATE FOR REGULAR STUDENTS
Certified that the applicant has fulfilled the conditions laid down under the statutes enforced in the year of
Examination and that:
a)
The student concerned has been on the rolls of the College during the academic year immediately
preceding the Examination.
b)
He has attended, not less than two third of the total number of lectures delivered to his class in each paper,
separately in theory and practical, during the academic year immediately preceding the Examination.
c)
His performance, as judged through class tests, assignments etc. has been satisfactory.
d)
His / Her character and conduct have been good.
e)
He / She has, passed F.Sc/ previous professional exams in accordance with the prescribed Regulations.
f)
He / She has filled in and signed the Admission Form in my presence, and the particulars filled in by him /
her on the reverse are correct and nothing has been concealed.
CERTIFICATE FOR LATE COLLEGE STUDENTS
a)
The late College student concerned was on the rolls of the College during the academic year_____.
b)
He / She attended, not less than two third of the total number of lectures delivered to his class, in each
paper, separately in theory and practical during the academic year ___________________.
c)
His / Her performance as a regular student judged through class tests, assignments etc., was satisfactory.
d)
His / Her character and conduct have been good.
e)
He / She has passed F.Sc /previous professional exam in accordance with the prescribed Regulations.
f)
He / She has filled in and signed the Admission Form in my presence, and the particulars filled in by him /
her on the reverse are correct and nothing has been concealed.
FOR THE LATE COLLEGE CANDIDATE PLACED UNDER COMPARTMENT / EXEMPTION
st
nd
He / She appeared in Pharm-D. _______ Prof. 1 /2 Annual Examination 200 ____ under Roll No. ___________ and
was placed in compartment or earned exemption and is eligible to reappear in the following paper/s.
____________________________________________________________________________
___________________________________________________________________________________
Signature of the Principal
Stamp of the Principal
Dated _______________
Online downloaded
4
UNIVERSITY OF SARGODHA
FEE RECEIPT FORM
Form No.
______
PHARM-D (5-YEARS Course) (Annual System)
Mention Professional _______________
Mention First Annual or Second Annual Examination 20 ____.
Roll No. _________
(To be filled in by the office)
IMPORTANT INSTRUCTIONS
1.
The candidate is directed to fill in the Admission and Fee Receipt Forms carefully.
Incomplete forms shall be rejected and returned forthwith. The Forms will be considered to have
reached the University Office when these are received complete in all respects. In all other cases,
late fee/double fee will be charged accordingly.
2.
The fee is payable through the prescribed Branches of Habib Bank Ltd. on the Challan
prescribed for the University of Sargodha. Money Orders, Postal Orders, Bank Drafts and cheques
shall not be accepted.
1.
Name of the Candidate in English __________________________________________________
(Block Letters)
2.
Father’s Name in English _________________________________________________________
3.
Registration No. ______________________
5.
FOR EXEMPTION / COMPARTMENT CANDIDATE WHO HAVE ALREADY APPEARED IN
Pharm-D. ____ PROFESSIONAL EXAMINATION AND FAILED.
st
nd
Year of appearing in Pharm-D. _____ Prof. 1 /2 Annual ______ Examination under Roll No. ______ .
6.
Fee paid Rs. ______________ Bank Challan no. ______________ Dated __________________
Name of Bank and Branch ________________________________________
NOTE: - ORIGINAL RECEIPT OF BANK CHALLAN MUST BE PASTED ON THE BACKSIDE
OF THIS FORM
I hereby declare that all the particulars mentioned above are correct and that in case of any difficulty arising
out of inaccuracy therein, I shall be responsible for the consequences.
Signature of the Candidate
Dated _________________
Full Present Address
________________________________
________________________________
________________________________
Signature of the Principal
Stamp of the Principal
Name & Address of the Candidate
Name & Address of the Candidate
_________________________________
_____________________________________
_________________________________
_____________________________________
_________________________________
_____________________________________
Online downloaded
5
TO BE FILLED IN BY THE CANDIDATE
Actual
Amount
due Rs.
Amount
Received
Rs.
Receipt
No.
and date
Amount
still due
Rs.
Examination Fee Pharm-D
Double the ordinary Fee
Reference made by office to the defaulter:Letter No. ______________________________________ Dated _________________
1.
Reminder No. _____________________________ Dated _________________
2.
Reminder ________________________________ Dated __________________
(FEE CHALLAN SHOULD BE PASTED HERE)
Online downloaded
Habib Bank Limited
6
Habib Bank Limited
Branch ___________________
Branch ___________________
Examination Fee
Challan No. Online downloaded
Habib Bank Limited
Branch ___________________
Examination Fee
Dated: _________
Habib Bank Limited
Challan No. Online downloaded
Branch ___________________
Examination Fee
Dated: _________
Challan No. Online downloaded
Examination Fee
Dated: _________
Challan No. Online downloaded
Dated: _________
Credit: University of Sargodha Collection A/C No. 04237900985603
Credit: University of Sargodha Collection A/C No. 04237900985603
Credit: University of Sargodha Collection A/C No. 04237900985603
Credit: University of Sargodha Collection A/C No. 04237900985603
Name in Block Letters _____________________________
Name in Block Letters _____________________________
Name in Block Letters _____________________________
Name in Block Letters _____________________________
Father's Name ___________________________________
Father's Name ___________________________________
Father's Name ___________________________________
Father's Name ___________________________________
st
nd
Examination ___________________1 / 2 Annual 20___
st
nd
Examination ___________________1 / 2 Annual 20___
Rupees
st
nd
Examination ___________________1 / 2 Annual 20___
Rupees
Examination ___________________1st / 2nd Annual 20___
Rupees
Rupees
1
2
FA / FSc
BA / BSc / BSA
1
2
FA / FSc
BA / BSc / BSA
1
2
FA / FSc
BA / BSc / BSA
1
2
FA / FSc
BA / BSc / BSA
3
MA / MSc / MCS
3
MA / MSc / MCS
3
MA / MSc / MCS
3
MA / MSc / MCS
4
LAW / MBA
4
LAW / MBA
4
LAW / MBA
4
LAW / MBA
5
Pharmacy
5
Pharmacy
5
Pharmacy
5
Pharmacy
6
Sports Fee
6
Sports Fee
6
Sports Fee
6
Sports Fee
7
Migration / NOC Fee
7
Migration / NOC Fee
7
Migration / NOC Fee
7
Migration / NOC Fee
8
Diploma Examination Fee
8
Diploma Examination Fee
8
Diploma Examination Fee
8
Diploma Examination Fee
9
Registration / Enrollment Fee
9
Registration / Enrollment Fee
9
Registration / Enrollment Fee
9
Registration / Enrollment Fee
10
Degree Fee
10
Degree Fee
10
Degree Fee
10
Degree Fee
11
College Insp. Fee
11
College Insp. Fee
11
College Insp. Fee
11
College Insp. Fee
12
Out of Jurisdiction Fee
12
Out of Jurisdiction Fee
12
Out of Jurisdiction Fee
12
Out of Jurisdiction Fee
13
Late Fee
13
Late Fee
13
Late Fee
13
Late Fee
14
Bank challan Collection Charges
14
Bank challan Collection Charges
14
Bank challan Collection Charges
14
Bank challan Collection Charges
15
Any Other (give detail)
15
Any Other (give detail)
15
Any Other (give detail)
15
Any Other (give detail)
16
17
16
17
16
17
16
17
18
18
18
18
Total
Total
Total
Total
Rs. in words _____________________________________
Rs. in words _____________________________________
Rs. in words _____________________________________
Rs. in words _____________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Note: Challan Colllection Fee Rs. 10/-
Note: Challan Colllection Fee Rs. 10/-
Note: Challan Colllection Fee Rs. 10/-
Note: Challan Colllection Fee Rs. 10/-
Online downloaded
Officer
Cashier
Officer
Cashier
Officer
Cashier
Officer
Cashier
UNIVERSITY OF SARGODHA
Admission Form for Pharm-D (5 Years Course) (Annual System)
Mention Professional___________________
Regular
Late College
( T i c k
Fresh
t h e
The Candidate
must paste here a
recent coloured
photograph
Compartment / Failed as a whole
r e l e v a n t
b o x e s )
1. Name of College _______________________________________________
2. Registration No. University of Sargodha
3. Name of the Candidate (in block letters)
Do not staple or
pin up
Form No. __________
4. Candidate’s N.I.C. No.
5. Father’s Name (in block letters)
6. Religion ________________
7. Nationality ____________
8. Sex (Male or Female)
9. Name of City / Town opted for Centre __________________________________________________
10.
Information about F.Sc. or equivalent Examination Passed:
st
Examination
nd
1 or 2
Annual
Year
Roll No.
Marks
nd
rd
Division
th
Board
th
Information about Latest Passed Exam: (only for 2 , 3 , 4 & 5 Professional Students)
st
Examination
nd
1 or 2
Annual
Year
11. Present Address (in block letters)
Roll No.
Marks
University
_____________________________________________
_____________________________________________
12. Permanent Address (in block letters)
_____________________________________________
_____________________________________________
13. Mention Subjects in which to appear
i. _____________________________ iv. ________________________ vii. __________________________
ii. _____________________________ v. ________________________ viii. __________________________
iii. _____________________________ vi. ________________________ xi. __________________________
xi. _____________________________ xi. ________________________ xii. __________________________
14. For Compartment / Failed as a Whole candidates only (information about the last chance availed)
Year of last appearing in Pharm-D _________ Prof. ________ Annual Exam, 200 ___ Under
1st or 2nd
Roll No. ______
Declaration:
1. I declare that all the particulars mentioned above are correct and in case of any difficulty
arising out of inaccuracy therein, I shall be responsible for the same.
2. I shall not take part in walk out or protest in any paper during the examination.
Signature of the Candidate ___________
Rupees. Rs. 30
Online downloaded
Signature of Principal
With office Stamp
2
UNIVERSITY OF SARGODHA
ADMISSION FORM
Form No.
______
PHARM-D (5 YEARS COURSE) (Annual System)
Mention Professional.__________
Mention First Annual or Second Annual Examination 20 ____.
THE CANDIDATE IS DIRECTED TO READ AND COMPLY WITH THE
INSTRUCTIONS PRINTED AT PAGE 3 CAREFULLY BEFORE FILLING IN THE
ADMISSION FORM. INCOMPLETE ADMISSION FORM SHALL BE REJECTED
AND RETURNED FORTHWITH. THE UNIVERSITY SHALL NOT TAKE ANY
RESPONSIBILITY FOR THE CONSEQUENCES. PARTICULARS MENTIONED
BELOW ARE TO BE FILLED IN BY THE CANDIDATE NEATLY AND LEGIBLY IN
HIS / HER OWN HAND WRITING WITH BLUE BALLPOINT / PEN.
Paste one
attested recent
coloured photo
Male / Female
1.
Name of the College ________________________________________
2.
Registration No. _________________________
3.
Name of the Candidate in English __________________________________________________
(Block Letters)
National I.D Card No. ____________________________________________________________
4.
5.
6.
7.
Father’s Name in English _________________________________________________________
(Block Letters)
Male or Female _______________ 6. Religion __________ 7. Nationality ________________
i).
Fee Paid Rs. _________________ Bank Challan No. _______________ Dated _____________
Habib Bank Ltd. Branch _________________________________
City / Town opted for the Examination Centre ________________________
Names of compulsory / optional papers in which to appear.
Compulsory / Optional Papers
_________________________________
ii).
________________________________
iii).
_________________________________
iv).
________________________________
v).
_________________________________
vi).
________________________________
vii).
_________________________________
viii).
________________________________
ix).
_________________________________
x).
________________________________
xi).
_________________________________
xii).
________________________________
10.
The year of passing F.Sc. or equivalent Examination 1 or 2
8.
9.
st
nd
Annual______________________
Roll No. _____________ Name of the Board _________________________________________
11.
st
nd
Information about Latest Passed Exam: The year of passing Pharm-D. ___________ Professional, 1 /2
nd
rd
th
th
Annual Examination 20 ___ Roll No. _________marks obtained __________ (Only for 2 , 3 , 4 , 5
Professional candidate)
13.
FOR EXEMPTION / COMPARTMENT CANDIDATES WHO HAVE ALREADY APPEARED IN
PHARM-D EXAMINATION AND FAILED.
st
nd
Year of appearing in Pharm D __________. Professional _____ 1 /2 Annual Examination ________ under
Roll
No. ____________ and eligible to reappear in Paper/s.
1.
________________________________
2.
_______________________________
3.
________________________________
4.
_______________________________
5.
________________________________
6.
_______________________________
7.
________________________________
8.
_______________________________
Declaration: - I hereby declare that:- 1) All the particulars mentioned above are correct and that in case of any
difficulty arising out of inaccuracy therein, I shall be responsible for the consequences.
2. I shall not take part in walkout or protest in any paper during Examination.
3. I have read the instructions carefully given at the back of this page & Roll No. Slip and shall abide by them.
Signature of the Candidate
Permanent Home Address
_____________________________
Full Present Address
________________________________
_____________________________
________________________________
_____________________________
________________________________
Price: - 30 Rupees
Online downloaded
3
IMPORTANT INSTRUCTIONS
1.
The candidate is directed to read instructions hereunder before filling in the Admission and Fee Receipt
Forms carefully. The Admission Form will be liable to be rejected if correct Registered No. is not mentioned or
incomplete or incorrect entry is made in the Form. The incomplete Admission Form shall be rejected and returned
forthwith. The University shall not take any responsibility for the consequences.
2.
Each candidate (Male / Female) must paste latest passport size Photographs, duly attested at the specified
places in the Admission Form.
3.
The Examination begins on the date/s given in the Date Sheet. Every candidate must keep his / her
National Identification Card with him / her in the Examination Hall while taking the Examination.
4.
The Admission Form will be entertained only if the attested photocopy of the Registration Card, issued by
the University, is attached with the Form alongwith other documents.
5.
The candidates must attach attested copies of latest pass result card and Computerized National Identity
Card. The compartment/ failed as a whole candidates must attach attested copy of latest fail result card and
Computerized National Identity Card.
CERTIFICATE FOR REGULAR STUDENTS
Certified that the applicant has fulfilled the conditions laid down under the statutes enforced in the year of
Examination and that:
a)
The student concerned has been on the rolls of the College during the academic year immediately
preceding the Examination.
b)
He has attended, not less than two third of the total number of lectures delivered to his class in each paper,
separately in theory and practical, during the academic year immediately preceding the Examination.
c)
His performance, as judged through class tests, assignments etc. has been satisfactory.
d)
His / Her character and conduct have been good.
e)
He / She has, passed F.Sc/ previous professional exams in accordance with the prescribed Regulations.
f)
He / She has filled in and signed the Admission Form in my presence, and the particulars filled in by him /
her on the reverse are correct and nothing has been concealed.
CERTIFICATE FOR LATE COLLEGE STUDENTS
a)
The late College student concerned was on the rolls of the College during the academic year_____.
b)
He / She attended, not less than two third of the total number of lectures delivered to his class, in each
paper, separately in theory and practical during the academic year ___________________.
c)
His / Her performance as a regular student judged through class tests, assignments etc., was satisfactory.
d)
His / Her character and conduct have been good.
e)
He / She has passed F.Sc /previous professional exam in accordance with the prescribed Regulations.
f)
He / She has filled in and signed the Admission Form in my presence, and the particulars filled in by him /
her on the reverse are correct and nothing has been concealed.
FOR THE LATE COLLEGE CANDIDATE PLACED UNDER COMPARTMENT / EXEMPTION
st
nd
He / She appeared in Pharm-D. _______ Prof. 1 /2 Annual Examination 200 ____ under Roll No. ___________ and
was placed in compartment or earned exemption and is eligible to reappear in the following paper/s.
____________________________________________________________________________
___________________________________________________________________________________
Signature of the Principal
Stamp of the Principal
Dated _______________
Online downloaded
4
UNIVERSITY OF SARGODHA
FEE RECEIPT FORM
Form No.
______
PHARM-D (5-YEARS Course) (Annual System)
Mention Professional _______________
Mention First Annual or Second Annual Examination 20 ____.
Roll No. _________
(To be filled in by the office)
IMPORTANT INSTRUCTIONS
1.
The candidate is directed to fill in the Admission and Fee Receipt Forms carefully.
Incomplete forms shall be rejected and returned forthwith. The Forms will be considered to have
reached the University Office when these are received complete in all respects. In all other cases,
late fee/double fee will be charged accordingly.
2.
The fee is payable through the prescribed Branches of Habib Bank Ltd. on the Challan
prescribed for the University of Sargodha. Money Orders, Postal Orders, Bank Drafts and cheques
shall not be accepted.
1.
Name of the Candidate in English __________________________________________________
(Block Letters)
2.
Father’s Name in English _________________________________________________________
3.
Registration No. ______________________
5.
FOR EXEMPTION / COMPARTMENT CANDIDATE WHO HAVE ALREADY APPEARED IN
Pharm-D. ____ PROFESSIONAL EXAMINATION AND FAILED.
st
nd
Year of appearing in Pharm-D. _____ Prof. 1 /2 Annual ______ Examination under Roll No. ______ .
6.
Fee paid Rs. ______________ Bank Challan no. ______________ Dated __________________
Name of Bank and Branch ________________________________________
NOTE: - ORIGINAL RECEIPT OF BANK CHALLAN MUST BE PASTED ON THE BACKSIDE
OF THIS FORM
I hereby declare that all the particulars mentioned above are correct and that in case of any difficulty arising
out of inaccuracy therein, I shall be responsible for the consequences.
Signature of the Candidate
Dated _________________
Full Present Address
________________________________
________________________________
________________________________
Signature of the Principal
Stamp of the Principal
Name & Address of the Candidate
Name & Address of the Candidate
_________________________________
_____________________________________
_________________________________
_____________________________________
_________________________________
_____________________________________
Online downloaded
5
TO BE FILLED IN BY THE CANDIDATE
Actual
Amount
due Rs.
Amount
Received
Rs.
Receipt
No.
and date
Amount
still due
Rs.
Examination Fee Pharm-D
Double the ordinary Fee
Reference made by office to the defaulter:Letter No. ______________________________________ Dated _________________
1.
Reminder No. _____________________________ Dated _________________
2.
Reminder ________________________________ Dated __________________
(FEE CHALLAN SHOULD BE PASTED HERE)
Online downloaded
Habib Bank Limited
6
Habib Bank Limited
Branch ___________________
Branch ___________________
Examination Fee
Challan No. Online downloaded
Habib Bank Limited
Branch ___________________
Examination Fee
Dated: _________
Habib Bank Limited
Challan No. Online downloaded
Branch ___________________
Examination Fee
Dated: _________
Challan No. Online downloaded
Examination Fee
Dated: _________
Challan No. Online downloaded
Dated: _________
Credit: University of Sargodha Collection A/C No. 04237900985603
Credit: University of Sargodha Collection A/C No. 04237900985603
Credit: University of Sargodha Collection A/C No. 04237900985603
Credit: University of Sargodha Collection A/C No. 04237900985603
Name in Block Letters _____________________________
Name in Block Letters _____________________________
Name in Block Letters _____________________________
Name in Block Letters _____________________________
Father's Name ___________________________________
Father's Name ___________________________________
Father's Name ___________________________________
Father's Name ___________________________________
st
nd
Examination ___________________1 / 2 Annual 20___
st
nd
Examination ___________________1 / 2 Annual 20___
Rupees
st
nd
Examination ___________________1 / 2 Annual 20___
Rupees
Examination ___________________1st / 2nd Annual 20___
Rupees
Rupees
1
2
FA / FSc
BA / BSc / BSA
1
2
FA / FSc
BA / BSc / BSA
1
2
FA / FSc
BA / BSc / BSA
1
2
FA / FSc
BA / BSc / BSA
3
MA / MSc / MCS
3
MA / MSc / MCS
3
MA / MSc / MCS
3
MA / MSc / MCS
4
LAW / MBA
4
LAW / MBA
4
LAW / MBA
4
LAW / MBA
5
Pharmacy
5
Pharmacy
5
Pharmacy
5
Pharmacy
6
Sports Fee
6
Sports Fee
6
Sports Fee
6
Sports Fee
7
Migration / NOC Fee
7
Migration / NOC Fee
7
Migration / NOC Fee
7
Migration / NOC Fee
8
Diploma Examination Fee
8
Diploma Examination Fee
8
Diploma Examination Fee
8
Diploma Examination Fee
9
Registration / Enrollment Fee
9
Registration / Enrollment Fee
9
Registration / Enrollment Fee
9
Registration / Enrollment Fee
10
Degree Fee
10
Degree Fee
10
Degree Fee
10
Degree Fee
11
College Insp. Fee
11
College Insp. Fee
11
College Insp. Fee
11
College Insp. Fee
12
Out of Jurisdiction Fee
12
Out of Jurisdiction Fee
12
Out of Jurisdiction Fee
12
Out of Jurisdiction Fee
13
Late Fee
13
Late Fee
13
Late Fee
13
Late Fee
14
Bank challan Collection Charges
14
Bank challan Collection Charges
14
Bank challan Collection Charges
14
Bank challan Collection Charges
15
Any Other (give detail)
15
Any Other (give detail)
15
Any Other (give detail)
15
Any Other (give detail)
16
17
16
17
16
17
16
17
18
18
18
18
Total
Total
Total
Total
Rs. in words _____________________________________
Rs. in words _____________________________________
Rs. in words _____________________________________
Rs. in words _____________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Note: Challan Colllection Fee Rs. 10/-
Note: Challan Colllection Fee Rs. 10/-
Note: Challan Colllection Fee Rs. 10/-
Note: Challan Colllection Fee Rs. 10/-
Online downloaded
Officer
Cashier
Officer
Cashier
Officer
Cashier
Officer
Cashier
