COMBINED ENTRY TEST FOR ADMISSION IN ENGINEERING INSTITUTIONS

APPLICATION FOR ENTRY TEST

Tracking No. 66922 Roll No. (For Office Use Only)

Group: English, Mathematics, Physics & Chemistry

1. PERSONAL DETAIL Name: MUHAMMAD UMER

Father's Name: MUHAMMAD MUKHTIAR Date of Birth: Gender: 17-Oct-1989 Male CNIC: Father CNIC: 3630256570371 3630293132909

2. CONTACT DETAIL Mailing Address: Phone No.: City: Aashiyana Lodge House#173/66 St#2 Kalroo Colony Allah Shafi Chok Multan 03007343070 Multan Cell No.: District: Email: 03457018587 Multan umarmalik2012@gmail.com

Province/Area: Punjab

Dated: 22-Jul-2013 Signature of Candidate:

APPLICATION CHECK LIST

Please ensure that the following documents are attached with this application form. Ensure that this form has been signed by the candidate. Photo copy of CNIC or B-Form issued by NADRA is attached. Two passport size photographs (one to be pasted on this form) are attached. Paid Challan Form Receipt No. 1 is attached.
Note.

(i) Please bring BLACK BALL POINT and Clip Boards with you for Test. (ii) Calculators, Books, Notes, Erasers, Lead pencils, Mobile Phones and hand bags are not allowed in the Test Hall.

Candidate Copy For Attachment

Candidate Copy

Habib Bank Limited

Bank Challan No: Credit: 9966922 University of Enginering & Technology, Lahore

1
22-Jul-2013

Habib Bank Limited

Bank Challan No: Credit: 9966922 University of Enginering & Technology, Lahore

2
22-Jul-2013

Account No: Name: F- Name: Subject: MUHAMMAD UMER MUHAMMAD MUKHTIAR Entry Test 2013

01280005533303

Account No: Name: F- Name: Subject: MUHAMMAD UMER

01280005533303

MUHAMMAD MUKHTIAR Entry Test 2013 Amount (Rs.)

Amount (Rs.) Entry Test Fee No On-Line Submission Charges.

Grand Total Rs. 400/RUPEES FOUR HUNDRED ONLY

400/-

Entry Test Fee No On-Line Submission Charges.

Grand Total Rs.

400/-

400/RUPEES FOUR HUNDRED ONLY

Rupees (in words) Officer

Rupees (in words) Officer

Cashier

Cashier

To be retained by the bank

For Submission to Treasure UET, Lahore

Habib Bank Limited

Bank Challan No: Credit: 9966922 University of Enginering & Technology, Lahore

3
22-Jul-2013

Habib Bank Limited

Bank Challan No: Credit: 9966922 University of Enginering & Technology, Lahore

4
22-Jul-2013

Account No: Name: F- Name: Subject: MUHAMMAD UMER MUHAMMAD MUKHTIAR Entry Test 2013

01280005533303

Account No: Name: F- Name: Subject: MUHAMMAD UMER MUHAMMAD MUKHTIAR Entry Test 2013

01280005533303

Amount (Rs.) Entry Test Fee No On-Line Submission Charges.

Grand Total Rs. 400/RUPEES FOUR HUNDRED ONLY

Amount (Rs.) Entry Test Fee No On-Line Submission Charges.

Grand Total Rs. 400/RUPEES FOUR HUNDRED ONLY

400/-

400/-

Rupees (in words) Officer

Rupees (in words) Officer

Cashier

Cashier