Directorate of Admission, Block 4 Allama Iqbal Open University, H-8 Islamabad

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3/3/2021 Form

ALLAMA IQBAL OPEN UNIVERSITY Form No.


ADMISSION FORM
Program: F.A(GEN.NEW)
SEMESTER: Spring 2021 Web Lot No:
1. Registration No. (If you are Registered with AIOU): -- FOR OFFICE USE ONLY
PERSONAL INFORMATION Batch No
3. Name SHAHZAD AHMED
4. Father Name GULFAD
RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD FAZILPUR RIAZ AHMAD RT DOMICILE District
5. Postal Address
RETIRED SST MOHALLAH AZIZABAD FAZILPUR 0 0 4 8
6.Postal District RAJANPUR 7.Postal Tehsil RAJANPUR

8.Date of Birth 25-09-1995 9. Mobile No 0333-6448875

10.CNIC No/B Form No 3240298360545 11.Books Mode HARD COPY

12.Occupation STUDENT 13.Qualification SSC (Matric)

14.Religion MUSLIM 15.Domicile RAJANPUR


Courses
Sr No Code Course Title For Account Use
1 0316 ISLAMIAT (C)
2 0317 PAKISTAN STUDIES (C)
3 0363 URDU-I
4 0386 COMPULSORY ENGLISH-I

16. FOR OFFICIAL USE ONLY


0 4 8 0 0 0 2 0 3 3 2
DISTT TEH EDU LEVEL CLUS ST BANK CODE FT FEE

2110332020027
Coding _________________________ Eligibility _________________________ BANK CHALLAN NO

Directorate of Admission, Block 4


Allama Iqbal Open University,
H-8 Islamabad

fom.aiou.edu.pk/spr21/form/64280 1/3
3/3/2021 Form
17. Academic Information
Level Year Grade/ Division Major Subjects Board/ University
Matric/SSC 2013 B SCIENCE BISE LARKANA (SINDH)

18. Professional Experience (If any)


S.No Organization Job Title Main Assigment From To
1
2
3
4
5

19. Instructions / Regulation Regarding ADMISSION


1. Admission will not be granted if the admission form is incomplete in any respect (e.g. less fee, unattested photocopies of certificates, partial
information).
2. Admission will not be granted if the form or fee is deposited other than procedure mentioned in the prospectus.
3. Photocopy of the addmission form is not acceptable.
4. Candidates are advised to write their address clear and legible handwriting. University reserves the right not to grant admission in case of postal
address given with P.O.Box number or in the case of someone other than candidate's name.
5. Paste one picture on the addmission form.Do not staple
6. During filling form, please write course code very carefully because the admission is made according to course code mentioned by student. If
the student leave the course codes his/her admission will be finalized as per title of courses. In case of any fault / discrepency the student will have
to deposit change of course fee before the due date of first assigment. In case of failing to do so student himself will be responsible for it.
20. AFFIDAVIT
I SHAHZAD AHMED S/O GULFAD solemnly agree that:
1. Information given in admission form for Spring / Autumn semesters are true to my knowledge. I have studied / read all the rules and
conditions throughly before filling in admission form.
2. I will abide by the university rules constituted from time to time.
3. In case of litigation , I will file my appeal in the courts of Rawalpindi and Islamabad only.
4. My admission is provisional and the university reserves the right to cancel my admission and confiscate my dues if information given by me
is worng.
5. In case of admission in two programes at a time, the university is authorize to cancel admission of the fresh programe and confiscate fee as
per rules.
6. I have filled in the admission form with the consent of my parents / guardian.
7. I give my consent to AIOU to use my Mobile No. for necessary communication between AIOU and myself.
8. I also declear that in case of provision of any wrong statment / information at the time of getting admission/ deviation from AIOU prescribed
rules / policy in the advertisement / Prospectus and submission of fake degree or third division on my part (student), the university has the right to
cancel my admission and stop my degree.

Permanent Address: RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD FAZILPUR RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD
FAZILPUR Tehsil RAJANPUR (00) , Distric RAJANPUR (048)
Mobile No: 03336448875 E-mail: IZHARRAZA@MSN.COM
Dated: 2021-03-03 09:59:09

Signature of Applicant

fom.aiou.edu.pk/spr21/form/64280 2/3
3/3/2021 Form

ALLAMA IQBAL OPEN UNIVERSITY Challan No.


Copy No. 1 (For AIOU)

ABL CMD A/c.0010000336340801 MCB-TM0096 A/c.0586704541007031 UBL: MCA A/c.262489296 FWBL: A/c.0036010745610001
AIOU Fee(AIOU Branch 0221, Islamabad) AIOU Fee(I-8 Markaz Branch 1501, Islamabad) AIOU Fee(Blue Area Branch 0239), Islamabad) AIOU Fee(AIOU Branch 0036, Islamabad)
Fee can also be paid through App/USSD *786# string/Agent/Franchise of Jazz Cash, Easy Paisa, Upaisa and bank branches of Mobilink, Telenor and U Bank

Fee payable within due date Rs. 3250


Issue Date: 2021-03-03 Due Date: 2021-02-23 Validity Date: 2021-03-05 Semester: Spring 2021
Fee payable after due date Rs. 3750
Roll No.__________
Registration No. (for Continuing student only)

Name: SHAHZAD AHMED Father Name: GULFAD


Address: RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD FAZILPUR RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD
FAZILPUR Tehsil RAJANPUR, District RAJANPUR
Contact No.03336448875 CNIC/B Form:3240298360545 Program:F.A(GEN.NEW)
Course Code: 0363,0386,0317,0316 Amount(in words) _____________________________________
Transaction-ID:___________________________ Paid Via:
‫ ﻟﮑﮭﯾں‬Transaction-ID‫ ﻣﯾں ﻣوﺟود‬SMS ‫ﯾوﭘﯾﺳہ ﮐﮯ ذرﯾﻌﮯﻓﯾس ﺟﻣﻊ ﮐراﻧﮯ ﮐﯽ ﺻورت ﻣﯾں وﺻول ﺷده‬،‫اﯾزی ﭘﯾﺳہ‬،‫ﺟﺎزﮐﯾش‬
JazzCash Easypaisa Upaisa Bank

Depositor
Bank official sign: _________ Branch Code: _________
Name/Sign/Cell#_________________________

ALLAMA IQBAL OPEN UNIVERSITY


Challan No.
Copy No. 2 (For Student)

ABL CMD A/c.0010000336340801 MCB-TM0096 A/c.0586704541007031 UBL: MCA A/c.262489296 FWBL: A/c.0036010745610001
AIOU Fee(AIOU Branch 0221, Islamabad) AIOU Fee(I-8 Markaz Branch 1501, Islamabad) AIOU Fee(Blue Area Branch 0239), Islamabad) AIOU Fee(AIOU Branch 0036, Islamabad)
Fee can also be paid through App/USSD *786# string/Agent/Franchise of Jazz Cash, Easy Paisa, Upaisa and bank branches of Mobilink, Telenor and U Bank

Fee payable within due date Rs. 3250


Issue Date: 2021-03-03 Due Date: 2021-02-23 Validity Date: 2021-03-05 Semester: Spring 2021
Fee payable after due date Rs. 3750
Registration No. Roll No.__________(for Continuing student only)
Name: SHAHZAD AHMED Father Name: GULFAD
Address: RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD FAZILPUR RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD
FAZILPUR Tehsil RAJANPUR, District RAJANPUR
Contact No.03336448875 CNIC/B Form:3240298360545 Program:F.A(GEN.NEW)
Course Code: 0363,0386,0317,0316 Amount(in words) _____________________________________
Transaction-ID:___________________________ Paid Via:
‫ ﻟﮑﮭﯾں‬Transaction-ID‫ ﻣﯾں ﻣوﺟود‬SMS ‫ﯾوﭘﯾﺳہ ﮐﮯ ذرﯾﻌﮯﻓﯾس ﺟﻣﻊ ﮐراﻧﮯ ﮐﯽ ﺻورت ﻣﯾں وﺻول ﺷده‬،‫اﯾزی ﭘﯾﺳہ‬،‫ﺟﺎزﮐﯾش‬
JazzCash Easypaisa Upaisa Bank

Depositor
Bank official sign: _________ Branch Code: _________
Name/Sign/Cell#_________________________

ALLAMA IQBAL OPEN UNIVERSITY


Challan No.
Copy No. 3 (For Bank)

ABL CMD A/c.0010000336340801 MCB-TM0096 A/c.0586704541007031 UBL: MCA A/c.262489296 FWBL: A/c.0036010745610001
AIOU Fee(AIOU Branch 0221, Islamabad) AIOU Fee(I-8 Markaz Branch 1501, Islamabad) AIOU Fee(Blue Area Branch 0239), Islamabad) AIOU Fee(AIOU Branch 0036, Islamabad)
Fee can also be paid through App/USSD *786# string/Agent/Franchise of Jazz Cash, Easy Paisa, Upaisa and bank branches of Mobilink, Telenor and U Bank

Fee payable within due date Rs. 3250


Issue Date: 2021-03-03 Due Date: 2021-02-23 Validity Date: 2021-03-05 Semester: Spring 2021
Fee payable after due date Rs. 3750
Roll No.__________
Registration No. (for Continuing student only)

Name: SHAHZAD AHMED Father Name: GULFAD


Address: RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD FAZILPUR RIAZ AHMAD RETIRED SST MOHALLAH AZIZABAD
FAZILPUR Tehsil RAJANPUR, District RAJANPUR
Contact No.03336448875 CNIC/B Form:3240298360545 Program:F.A(GEN.NEW)
Course Code: 0363,0386,0317,0316 Amount(in words) _____________________________________
Transaction-ID:___________________________ Paid Via:
‫ ﻟﮑﮭﯾں‬Transaction-ID‫ ﻣﯾں ﻣوﺟود‬SMS ‫ﯾوﭘﯾﺳہ ﮐﮯ ذرﯾﻌﮯﻓﯾس ﺟﻣﻊ ﮐراﻧﮯ ﮐﯽ ﺻورت ﻣﯾں وﺻول ﺷده‬،‫اﯾزی ﭘﯾﺳہ‬،‫ﺟﺎزﮐﯾش‬
JazzCash Easypaisa Upaisa Bank

Depositor
Bank official sign: _________ Branch Code: _________
Name/Sign/Cell#_________________________

fom.aiou.edu.pk/spr21/form/64280 3/3

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