University of Management and Technology Fall Spring Year Attached four passport size photographs Lahore Campus Sialkot Campus Any other Campus ______________ Serial #___________________ UMT Student ID:________________________________________ VPN _________________________________________________ Reference No. _________________________________________ PROGRAM PREFERENCES (1) (2) PERSONAL DETAILS (All students must fill this section) Gender: Male Female Name (Block Letters) Application Form – Undergraduate FOR OFFICIAL USE ONLY (MUST NOT BE FILLED BY THE CANDIDATE) Student's CNIC No./ Form ‘B’ (If applicable) _________________________________________________________________________________ Father’s Name ________________________________________________ Father's CNIC ___________________________________________ Date of Birth __________________________ Mobile #_____ ___________________________ Landline # ________________________ Correspondence Address _______________________________________________________________________________________ ____________________________________________________________________________________________________________ Permanent Address _____________________________________________________________________________________________ ____________________________________________________________________________________________________________ Email __________________________________________________________ Do you have any learning disability?_______________________ OVERSEAS / INTERNATIONAL STUDENT ONLY (Pakistan residents are not required to fill this section) Yes No Country of Residence_________________________________________ Overseas Pakistani: Nationality _________________________________________________ International Non Pakistani Student: Yes No Province/ State______________________________________________ City ________________________________ ______________________ Passport # ______________________ ACADEMIC RECORD Level of Education Full Result Name of School, College or University Govern ment/ Private (G/P) Board/ University Year Subjects Result Awaited Total Mark Marks obtained Inter/ A-levels Matric/ O-levels Diplomas/DAE Any Other Qualification NTS / SAT / or any other TEST RESULT Reg # Test Name UMT – Undergraduate Admission Form Test Date Validity up to Total Marks Marks Obtained FAMILY INFORMATION Father’s Name ________________________________________________ Mother’s Name __________________________________________ Occupation ___________________________________________________ Occupation _____________________________________________ Job Nature ____________________________________________________ Job Nature _____________________________________________ C.N.I.C. # ____________________________________________________ C. N.I.C. # _____________________________________________ Address ______________________________________________________ Address _______________________________________________ Mob/ Tel ____________________________________________________ Mob/ Tel ______________________________________________ EMERGENCY CONTACT Name _______________________________________________________ C.N.I.C. # _____________________________________________ Address ______________________________________________________________________________________________________________ _____________________________________________________________ Telephone __________________________________________ STATEMENT OF PURPOSE (a personal statement about who you are and where you plan to go from here?) 200 words HAND WRITTEN statements only ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ HOW DID YOU KNOW ABOUT UMT? Please your source of information about UMT UMT Prospectus/Brochures UMT Ad/Supplement in Newspaper UMT Events/Seminars/Orientations UMT Website Friends/Relative Social Media Networks Alumni Educational Expo others please specify ____________ REFERENCE OF TWO ACADEMICS/PROFESSIONALS These referees can be your Teachers/ Head Masters / Principals / Professional Colleagues / Supervisors / Manager etc Name Name Contact # Contact # Designation Designation UMT – Undergraduate Admission Form DECLARATION AND SIGNATURE I Mr/Miss/Ms ----------------------------------------------- Son/Daughter ------------------------------------Hereby solemnly declare that the information provided on this form is true and correct to the best of my knowledge. I have read and understood all the instructions provided in the current prospectus and agree to abide by them. I further undertake that I have sufficient financial resources required for the program of study at University of Management and Technology. I also solemnly affirm, declare and undertake that: I understand that the University may vary or reverse any decision made on the basis of incorrect or incomplete information which I have provided. I will submit the Equivalence Certificate from the Higher Education Commission (HEC) or IBCC, whatever the case may be within one week after commencement of classes. In case Pakistan Engineering Council (PEC) declines to register me as a Professional Engineer, UMT will not be held responsible for this action. I hereby undertake to comply with all requirements of relevant accrediting and regulatory bodies and governmental policies in practice now or later till the completion of my degree. I am an HEC Scholar; in case of any fee difference I am bound to pay the remaining fee to UMT. I shall abide by the HEC rules in case of tuition fee refund. I will maintain my GPA/CGPA as per UMT policies if the scholarship/financial assistance are being provided to me, otherwise it will be withdrawn. I am aware that, if I fail to pass my intermediate / graduation any prerequisite examination with minimum required marks as per eligibility criteria of the respective program. My admission at UMT will be cancelled forthwith. In case of cancellation of my admission, I will not claim fee refund and my semester report/transcript of the credits earned shall be cancelled and will be non transferable. I shall protect and preserve the property of UMT at all times and shall make all out efforts to prevent others from causing any damage or destruction to the University’s property. I shall fully abide by the decisions of management, various discipline committees constituted for the purpose of ensuring and enforcing discipline and good order in the university and of other authorities. I shall abide by the rules and regulations enforced at UMT at present and those which may be enforced at any time in the future. Please encircle the document (s) is/are missing while submitting the admission form: Sr. No Document 1 Passing Certificates of S.S.C (Matriculation) examination. 2 Passing Certificate of H.S.S.C (Intermediate) or equivalent examination 3 Computerized National Identity Card (CNIC/ Form B in case of under 18 years of age 4 CNIC of Father/Parent/Guardian. 5 Passport size recent photographs duly attested with name written on back side. 6 Equivalence certificates in case of qualifications from foreign universities/institutes only. 9 Any other relevant document. I undertake to submit the above mentioned missing documents to Admission Section on or before during office hours positively. Name of Applicant _____________________________________ Name of Parent/Guardian _____________________________________ Signature of Applicant __________________________________ Signature of Parent /Guardian __________________________________ Date ________________________________________________ Date ______________________________________________________ UMT – Undergraduate Admission Form FOR OFFICIAL USE ONLY PROVISIONAL ADMISSION GRANTED FULL ADMISSION GRANTED CONDITIONS APPLIED: 1) ________________________________________ ADMISSION DECLINED (reason below) 2) _________________________________________________________________ 3) _________________________________________________________________ INTERVIEW PANEL REMARKS __________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________ INTERVIEW PANEL RECOMMENDATIONS PANEL SIGNATURES Strongly Recommended 1) Recommended 2) Wait – On Hold 3) Not Recommended (Please state the reason above) 4) Strongly Not Recommended (Please state the reason above) 5) ADMISSION OFFICER’S SIGNATURE & DATE DEAN/ DIRECTOR SIGNATURE & DATE REGISTRAR OFFICE SIGNATURE & DATE OIA FILE TRANSFERRING OFFICER SIGNATURE & DATE FOR OFFICIAL USE ONLY UMT – Undergraduate Admission Form