UNIVERSITY OF ENGINEERING & TECHNOLOGY, LAHORE

OFFICE OF THE SENIOR WARDEN

Hostel Accommodation Form
Application No: 10280
Name of Student: USAMA ARSHAD D.O.B: 4/1/99 12:00

Father Name: MUHAMMAD ARSHAD Father’s Occupation:

Recent Photograph
Paste here
Mother’s Name: Mother’s Occupation:
(IN BLOCK LETTERS)

Blood Group: Call/Admission Letter No:

Merit No: Nationality: Place of Domicile: Faisalabad

Registration No: 2020-MS-MIN-T-102 Department: Mining Engineering

Last School/College Attended (Name): Years (from-to):

City: Country: Marks Obtained:

Present Address: House No: Street:

Road: City: State/Province:

Permanent Address: House No: Street:

Road: City: State/Province:

Phone House: Contact in Case of Emergency:

Mobile No: Email:

For International Students

Nominating Agency Name:

Funding (Amount): Scholarship (Amount/Year):

I solemnly state that if a seat is allotted to me it will be continuously used by me for entire
duration of the allotment. I have studied the hostel rules and undertake to abide by.

Dated: Signature of Applicant:

Documents Required:
1. Attested Copy of Domicile/Passport Showing Address(Int. Student)
2. Copy of Bank Challan
3. Attested Copy of Result/Call Letter/Admission Letter
4. 2 photograph (Recent)
 UNIVERSITY OF ENGINEERING & TECHNOLOGY, LAHORE
OFFICE OF THE SENIOR WARDEN
Hostel Accommodation Form
Application No: 10280

For Girls Hostel Accommodation

(To be filled by Parent/Guardian)

My daughter:

Call letter No: Reg. No: is allowed to

see the following relatives during visiting hours.

Sr. No. Name & Address Relation

1

In Case of emergency please Contact

Sr. No. Name & Address Phone No.
1

Signature Of Guardian:
 UNIVERSITY OF ENGINEERING & TECHNOLOGY, LAHORE
OFFICE OF THE SENIOR WARDEN
Hostel Accommodation Form
Application No: 10280
Dat

UNDERTAKING REGARDING PROHIBITION OF DRUGS AND SMOKING

I solemnly declare that I will not use or share cigarettes/drugs in the premises of Hostel/University. I will
not permit anybody to use my room for smocking/drugs. If I will be found guilty I may be dealt with as per
University discipline rules.

Student Usama Arshad

Father Muhammad Arshad
Registration 2020-MS-MIN-T-102
C.N.I.C: 3310481752749

Signature

Verified by any 17 Grade

 UNIVERSITY OF ENGINEERING & TECHNOLOGY, LAHORE
OFFICE OF THE SENIOR WARDEN
Hostel Accommodation Form
Application No: 10280
DECLARATION BY THE UET HOSTEL RESIDENTS OF POSTGRADUATE

Dat

I Usama Arshad S/O, Muhammad Arshad

Registration 2020-MS-MIN-T-102 undertake/agree that I will not take
private/ public Job around/within Lahore during my whole stay in hostel for the duration of
Postgraduate Program in the University of Engineering and Technology, Lahore.

I understand if hostel authorities find violation of the above mentioned rule immediate
allotment without any prior notice and heavy fine will be imposed.

Signature

Name Usama Arshad

Department: Mining Engineering