Form -

OFFICE I.D CARD REQUEST FORM

Please provide two 1”x 1” size photographs and copy of CNIC along with this form
Name (Block Letters)________________________________________
Designation ____________________________________________
Department ____________________________________________
Date of Joining ____________________________________________
CNIC No _____________________________Phone(Res)______________________
Mobile No _____________________________Email___________________________
Blood Group_______________ In case of Emergency contact on ___________________
Residential Address(Optional)_________________________________________________

________________________________________________________________________
Category Faculty / Staff Type of Issue: New / Re-new / Duplicate

1. Please issue me with an Office ID card.

2. It is certified that the above information to the best of my knowledge is correct & accurate

____________________
Signature of Applicant
_____________________________
Signature of Head of Department
=======================================================================
HR Dept / Registrar Office Endorsement
This is to certify that Mr. / Ms. is a Bonafide employee of the University, Campus
since…………………………………………..
He / She may be issued office I.D card valid up to…………………………….
____________________
Signature of Registrar

R&D
For office use only
1. Registration / I.D Card No:________________________________________
2. Issued to Mr. / Ms. ………………………………....on :__________________
3. Duplicate / Renewed Issued on : _________________________________
4. Returned/Cancelled on : _________________________________
________________________ ____________________
Received by Issued by Admin Officer

University
CAMPUS
Address