INSTITUTE OF EDUCATION AND RESEARCH



INSTITUTE OF EDUCATION AND RESEARCH

UNIVERSITY OF THE PUNJAB

QUAID-I-AZAM CAMPUS, LAHORE-54590

Ph. 99231263

Admission Form for B. Ed (Science & Secondary Education

(Regular Programmes)

Name of Degree Programme you intend to apply_________________________________________

Student No. _____________ Admission Score ______________ Advisor’s Signature ___________

PART I

|ADMISSION SCORE |

| 1/4th marks of |1/5th marks of |B.A./B.Sc. |M.A./M.Sc./ |Experience |Total Score |

|Matric |F.A./F.Sc. |Marks out of 800 |B.A/B.S (Hons) | | |

| | | | | | |

← Date of notification of the result of your first professional training programme _________________

← Punjab University Registered No. _____________________

← Full Name: (in English) _____________________________ (in Urdu) _____________________

← Father’s Name: (in English) __________________________ (in Urdu) _____________________

← National Identity Card No. ___________________________ Date of Birth __________________

← Gender_________ Marital Status ___________ Blood Group ______ Religion ________________

← Father’s Occupation ________________________________ Monthly Income _______________

← Mother’s Occupation (If any) _________________________ Monthly Income _______________

← Permanent Home Address __________________________________________________________

← District_____________Postal Code __________Phone No. _____________Mobile No.__________

← Present Mailing Address ____________________________________________________________

Postal Code _______________Phone No. ________________Mobile No._____________________

← Academic and Professional Qualifications

|Examinations |Year |Marks Obtained |Maximum Marks |Division |Subjects |Institution |

|Matric | | | | | | |

|F.A./F.Sc. | | | | | | |

|B.A./B.Sc. | | | | | | |

|M.A/M.Sc/ B.A/B.S | | | | | | |

|(Hons) | | | | | | |

|Others if any | | | | | | |

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Institute of Education and Research

Receipt

Name ____________________________ Father’s Name _______________________________

Programme: _____________________ Received by ________________________________

PART II

A. I have enclosed herewith attested photo copies of following documents:

1. SSC, F.A/F.Sc, B.A/B.Sc, M.A/M.Sc/B.A/B.S (Hons). certificates/ degrees.

2. SSC, F.A/F.Sc, B.A/B.Sc, M.A./M.Sc/B.A/B.S (Hons) Detail marks certificates.

3. Certificate of good character from the Head of the institution last attended.

4. National Identity Card, Medical Certificate.

B. I solemnly declare that:

1. I am not a student of any other study programme/institution/department.

2. I am in-service teacher and I fulfill the condition of educational experience.

3. I am not suffering from any infectious disease.

4. The entries made in this form are correct. (Candidate found to have made false or incorrect statement in this form is liable to expulsion at any time during the study programme).

C. I undertake:

1. that, I shall not join any other study programme/department/institution during the period of my studies at this institute.

2. to abide by the Statutes, Regulations and Rules etc. framed by the IER/ University from time to time, and shall be liable to any penalty including rustication/expulsion in case of violation on my part.

3. to be of good behaviour.

4. to devote whole-heartedly to studies.

5. to maintain the dignity and prestige of the institute/university both in and outside the campuses.

6. to pay in time all dues and fines (if any).

D. I accept, as a condition of my admission, the authority of IER/University in that: I may not be allowed to register in any semester or can be required to withdraw my name from the rolls after registration, if, in the opinion of the Vice-Chancellor or Director IER my stay is not conducive to the welfare either of myself or others in the institute. Should I fail to withdraw my name immediately after being asked to do so, it may be struck off the rolls of the institute without any further notice to me.

E. I undertake not to “indulge in politics” and, in case I violate this undertaking and “indulge in politics” after my admission by the university in any constituent/affiliated college/ institute/ department, I shall be liable to expulsion from the Institute/ Department without any notice under the order of the Vice-Chancellor, whose order shall be final and can be questioned only before the Supreme Court of Pakistan (Judgment/order of the Supreme Court of Pakistan dated 1st July 1992).

F. I am applying/joining this degree programme with the expressed consent of my father/guardian who agrees to be responsible for my good conduct and has appended his signature below in token thereof.

G. I have read the relevant rules and regulations concerning admission before signing this application.

__________________________ _____________________

Signature of the Father/Guardian Signature of the Applicant

Dated ____________________ Dated _______________

PART III

(FOR IN-SERVICE CANDIDATES ONLY)

I certified that Mr./Miss/Mrs. ___________________________ S/o, D/o _______________________ Designation ________________________ Institution _______________________________ joined the service of Education Department on __________ as permanent employee. His/her application is recommended and forwarded to the Director, Institute of Education and Research, University of the Punjab, Lahore.

__________________________________

Signature and Stamp of Immediate Officer

___________________________________

Signature & Stamp of Competent Authority

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