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NationalICTR&DFund

6
th
Floor,HBLTower,JinnahAvenue,Islamabad|Tel:051921536065,Fax:0519215366
PrimeMinistersNationalICTScholarshipProgram2014
School/CollegeRegistrationForm
Pleasecorrectlytick()thepurposebeforefillingthisform.
RequestforSchool/Collegeregistration
Modificationinalreadyregisteredschool/college
(Incaseofmodification,pleaseprovidepreviously
registeredschool/collegecodehere_____________)
FillthefollowingforminCAPITALletters.

1. NameofSchool/College:
2. BoardAffiliation:
3. PostalAddress:

City/Town: Tehsil:
District: Province:
4. Telephone#: 5. Fax#:
6. PrincipalsName: Mobile#:
7. AlternateContactPerson: Mobile#:
8. EmailAddress:

9.NumberofstudentscurrentlystudyinginyourSchool/Collegeunderthefollowingdisciplines:
PreEngineering
(Maths,Physics,Chemistry)
ICS
(Maths,Physics,ComputerSc.)
GeneralScience
(withMaths&Physics)

10. TuitionFee: Rs.permonth/students


(TuitionFeeisnotrequiredfromGovernmentSchools/Colleges.TuitionfeeisrequiredonlyIfyou
School/Collegeisprivate/semiGovernmentandlocatedinAzadJammu&Kashmir(AJ&K),GilgitBaltistan
(GB),FederallyAdministeredTribalArea(FATA)orBalochistan.)

PrincipalsStamp&Signature
ForofficialuseofNationalICTR&DFund:
CodeIssued:______________________Issuedby:_______________________

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