(For Re-Instant Certificate)
1. Name of the Applicant Mr/Miss/Mrs.________________________________________________________
2. Father’s Name.__________________________________________________________________________
3. University of Sargodha Registration no. ______________________________________________________
a) Name of the last examination in which candidate appeared (Graduate/Post Graduate i.e BA/BSc, BS,
MA/MSc,B.Com, BBA etc)_________________________________________________________
b) Status of Examination (Pass or Fail)___________________________________________________
c) Year of appearing 1
st
/2
nd
Annual ____ OR Semester/Term_________20______________________
d) Roll No.________________________________Session___________________________________
6. Name of University/Institution/College last attended ______________________________________________
7. NOC No. ___________________________________Dated: _______________________________________
8. Declaration I, the undersigned, solemnly declare that all information provided by me is correct and I shall be
responsible for any wrong statement or record in/with this application.
Further, I have attached these documents duly attested by Gazetted Officer (please attach under mentioned
documents & tick the blank box)
I. Last Result card/Transcript/Degree/Certificate/Registration Card (copy)
II. One passport size photograph
III. One photocopy of ID card
IV. Bank Challan form Slip bearing No.__________________Date_______________
V. Original NOC (Last attended University/Institution)
SIGNATURE OF APPLICANT
SIGNATURE & STAMP OF DIRECTOR/PRINCIPAL/CHAIRMAN/INCHARGE/HOD
Mobile (Mandotary):_______________________________________Email:_____________________________________
Address:____________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
For Registration Branch use only
Application along-with attached documents are checked and verified by: ______________________________(Dealing Official)
Comments (if any) ________________________________________________________________________(Admin Officer)
Recommendations (if any) __________________________________________________________________(Assistant Registrar)