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Form No: 406975

Session: Fall 2020


Faculty Health and Medical Sciences

Name: Farida Azeemi


Father's Name: Rashid Idrees Azeemi
Date of Birth: 02 Nov 2001 Undergraduate
CNIC: 81302-0442697-0
Gender: Female Admission Form
Mobile: 0333-5864572
Domicile AJK
District Mirpur
Type
Nationality: Pakistani
Address Details:
Mailing Address Village kakra town, P.O Potha bensi, district Mirpur.,Mirpur
Permanent Address Village kakra town, P.O Potha bensi, district Mirpur.,Mirpur

Education Details:
Degree Board / Univ Subjects Total Marks Obtained Marks
SSC SSC AJK BISE Mirpur SCIENCE 1100 947
HSSC FSC AJK BISE Mirpur PRE_MEDICAL 505 418

Entry Test Result:


Test Group Total Marks Marks Obtained Status

Program Choices:
Program Preference Cost

AJ&K National (Subsidized) 0


Human Nutrition and Dietetics 2 1500
Medical Lab Technology 1 300
Total Cost: 1800

Fee Deposited vide challan no. Dated. Amount. Rs. 1800

Declaration: I declare that incorrect information will disqualify me for admission.

Signature of the applicant: Date:


Mirpur University of Science and Mirpur University of Science and Mirpur University of Science and Mirpur University of Science and
Technology, Azad Kashmir Technology, Azad Kashmir Technology, Azad Kashmir Technology, Azad Kashmir

ADMISSION FEE ADMISSION FEE ADMISSION FEE ADMISSION FEE


BANK COPY ACCOUNT COPY ADMISSION OFFICE COPY STUDENT COPY
Fall 2020 Undergraduate / Graduate Program Fall 2020 Undergraduate / Graduate Program Fall 2020 Undergraduate / Graduate Program Fall 2020 Undergraduate / Graduate Program

A/C No: A/C No: A/C No: A/C No:


0010050686280021 0010050686280021 0010050686280021 0010050686280021
Challan # 2026406975 Challan # 2026406975 Challan # 2026406975 Challan # 2026406975
Admission 406975 Admission 406975 Admission 406975 Admission 406975
Form # Form # Form # Form #
Institute 270 Institute 270 Institute 270 Institute 270
Code Code Code Code
Name: Farida Azeemi Name: Farida Azeemi Name: Farida Azeemi Name: Farida Azeemi

Faculty Faculty of Health and Faculty Faculty of Health and Faculty Faculty of Health and Faculty Faculty of Health and
Medical Sciences Medical Sciences Medical Sciences Medical Sciences
CNIC 81302-0442697-0 CNIC 81302-0442697-0 CNIC 81302-0442697-0 CNIC 81302-0442697-0
Due Date 30 July, 2020 Due Date 30 July, 2020 Due Date 30 July, 2020 Due Date 30 July, 2020

Cash: 1,800 Cash: 1,800 Cash: 1,800 Cash: 1,800

Total Payment (Cash) Rs: Total Payment (Cash) Rs: Total Payment (Cash) Rs: Total Payment (Cash) Rs:
(One Thousand Eight Hundred (One Thousand Eight Hundred (One Thousand Eight Hundred (One Thousand Eight Hundred
Rupees Only.) Rupees Only.) Rupees Only.) Rupees Only.)

Overwriting will Not be accepted. Overwriting will Not be accepted. Overwriting will Not be accepted. Overwriting will Not be accepted.
Original Fee Challan (Admission Office Original Fee Challan (Admission Office Original Fee Challan (Admission Office Original Fee Challan (Admission Office
Copy) per faculty shall be dispatched to Copy) per faculty shall be dispatched to Copy) per faculty shall be dispatched to Copy) per faculty shall be dispatched to
the office of DSA, MUST, Mirpur AJK. the office of DSA, MUST, Mirpur AJK. the office of DSA, MUST, Mirpur AJK. the office of DSA, MUST, Mirpur AJK.
Fee Challan can be submitted in any Fee Challan can be submitted in any Fee Challan can be submitted in any Fee Challan can be submitted in any
online branch of Allied Bank Ltd online branch of Allied Bank Ltd online branch of Allied Bank Ltd online branch of Allied Bank Ltd
nationwide. nationwide. nationwide. nationwide.
This Fee is Non-Refundable / Non This Fee is Non-Refundable / Non This Fee is Non-Refundable / Non This Fee is Non-Refundable / Non
Transferable in any case. Transferable in any case. Transferable in any case. Transferable in any case.

Bank Stamp Bank Stamp Bank Stamp Bank Stamp

Allied Bank Ltd. Main Branch Bank Allied Bank Ltd. Main Branch Bank Allied Bank Ltd. Main Branch Bank Allied Bank Ltd. Main Branch Bank
SQUARE Mirpur Azad Kashmir SQUARE Mirpur Azad Kashmir SQUARE Mirpur Azad Kashmir SQUARE Mirpur Azad Kashmir

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