application form summer 2015

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اﻟﻌﺎﻟﻤﻴﺔ اﻹﺳﻼﻣﻴﺔ اﻟﺠﺎﻣﻌﺔ ﺁﺑﺎد إﺳﻼمInternational Islamic University – Islamabad ArabicLanguageCenter Arabic Courses Form for Application PRGRAM APLLIED: __________Summer Arabic Course_ __________ CHOOSE LEVEL __________Certificate ________________ (Certificate/ Diploma/ Advanced Diploma) PERSONAL DETAILS Name ( as stated in the Matric/O-Level Certificate/Passport) (In capital letters) Name in Arabic/Urdu________________________________________________________________________________________ Father's Name (as stated in the Matric/O-Level Certificate/Passport) (In capital letters) Father's Name in Arabic/Urdu_________________________________________________________________________________ Nationality: _________________________________ CNIC # - - Passport No. (for overseas applicants only):______________________ Date of Birth: _______-______-________(dd-mm-yy) Postal Address: _____________________________________________________________________________________________ City:__________________________________ Country: _____________________________ Religion: ____________________ Email Address: _______________________________ Phone: ______________________ Cell. No. ____________________ Present Occupation: ____________________________ Organization: ________________________________________________ Are you Student of IIU ? (if yes then) Yes No Name of Degree:_________________________________________ Registration No. _______________________________________ Are you Employee of IIU? (if yes then) Yes No Department: ____________________________________________ Designation: ___________________________________ Are you son/daughter/spouse of IIUI Employee ? (if Yes then) Yes No Name of IIU Employee: ____________________________________ Designation: __________________________________ How did you know about this Program ? __________________________________________________

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Page 1: Application Form Summer 2015

إسالم آباد –الجامعة اإلسالمية العالمية International Islamic University – Islamabad

ArabicLanguageCenter

Arabic CoursesForm for  Application

PRGRAM APLLIED: __________Summer Arabic Course___________

CHOOSE LEVEL __________Certificate________________ (Certificate/ Diploma/ Advanced Diploma)

PERSONAL DETAILS Name ( as stated in the Matric/O-Level Certificate/Passport) (In capital letters)

Name in Arabic/Urdu________________________________________________________________________________________

Father's Name (as stated in the Matric/O-Level Certificate/Passport) (In capital letters)

Father's Name in Arabic/Urdu_________________________________________________________________________________

Nationality: _________________________________ CNIC # - -

Passport No. (for overseas applicants only):______________________ Date of Birth: _______-______-________(dd-mm-yy)

Postal Address: _____________________________________________________________________________________________

City:__________________________________ Country: _____________________________ Religion: ____________________

Email Address: _______________________________ Phone: ______________________ Cell. No. ____________________

Present Occupation: ____________________________ Organization: ________________________________________________

Are you Student of IIU ? (if yes then) Yes No Name of Degree:_________________________________________ Registration No. _______________________________________

Are you Employee of IIU? (if yes then) Yes No Department: ____________________________________________ Designation: ___________________________________

Are you son/daughter/spouse of IIUI Employee ? (if Yes then) Yes No

Name of IIU Employee: ____________________________________ Designation: __________________________________

How did you know about this Program ? __________________________________________________

Paste Photograph

here

Page 2: Application Form Summer 2015

ACADEMIC RECORD

Degree Year Duration Board/ University Major Subjects

Marks Obtained/

CGPA Total

Marks/CGPA % age

Matric/ O-Level/SSC

Intermediate/ HSSC/A-level

Graduation

Masters

Any other

Amount Paid: ______________________ Challan Form No. __________________ Date:_________________

______________________ Signature of Student

DOCUMENTS TO BE ATTACHED WITH APPLICATION FORM: (Please Check the Box)

Signed Application Form

Bank challan form (Academic Copy).

Attested photocopies of all academic degrees/certificates/ and other testimonials.

Two 2 x 2sizerecent photographs

Attested photocopy of Computerized National ID Card (CNIC)/ Passport (in case of overseas student). For candidates below 18 years Form B issued by NADRA

1. For IIU existing students attach photocopy of University ID Card. 2. For Ex-IIU student attach copy of the BS/MS/PhD Degree obtained from IIU. 3. In case of IIU employee or their son/daughter/spouse attach any proof or photocopy of Pay slip.

Fee Details: 1. Full Fee: Rs. 7000/- 2. IIU Student: Rs. 3500/- 3. Closely Related Persons: Rs. 5250/- 4. Ex IIU Student: Rs. 5250/- Verification for Fee Concession_________________________________________________________

__________________________________________________________________________________

Program Coordinator Arabic Language Center