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STUDENTS APPLICATION FORM

(Note:      Please paste this form in MS Word and then printout ) 






___________________________________________________________________
091-9213189                                  
                                                                                     GOVERNMENT OF KHYBER PAKHTUNKHWA             
DIRECTORATE GENERAL TECHNICAL EDUCATION
      & MANPOWER TRAINING, PESHAWAR
 BENEVOLENT FUND BUILDING PESHAWAR CANTT



APPLICATION FORM
          
Form No___________
Call No____________                                                                                                       Passport size
Roll No____________                            IMPORTANT INSTRUCTIONS                        Photograph 4 Nos

1- Particulars of the application form must be filled by the candidate.
2- Specify at least two Technology / Trades by priority (First Priority, Second Priority).
3- In case of any incorrect information found in particulars then application will be rejected
4- Incomplete application will not be entertained.
                                                            PERSONAL INFORMATION
1- Technology / Trade applied for (i) ____________________________ (ii) _____________________________
2- Name of the candidate (In English)___________________________________________________________
   (In Urdu)  ________________________________________________________________________________
3-Father’s Name (In English)__________________________________________________________________
   Father’s CNIC No. __________________________Father’s Occupation______________________________   
   Father’s Business / Office Address ___________________________________________________________
   _______________________________________________Tel_______________________________________
4- Date of Birth________________________________ Religion _____________________________________
5- Present Address_________________________________________________________________________
    _______________________________________________________________________________________
6- Permanent Address______________________________________________________________________
    _______________________________________________________________________________________
7- Applicant who is not resident of this City.
Guardian Name____________________________________ Relation ________________________________
Guardian’s Office or Business Address_________________________________________________________
____________________________________________________ Tel__________________________________
8- Educational Qualification (Attach Testimonials).

Name of
Exam
Session Year
Roll No
Total
Marks
Obtained  Marks
Division
/ Grade
%age
Institute Name
Middle







Matric

























(A)- Any engagement after passing middle or matric (if any)?
(B)- Experience in any Technical field (If any)?
(C)- If applied previously then mention date and trade?

 _____________________________________________________________________________
                                                                              2
9- I solemnly declare that: -
 
(A)- All particulars correct are upto my knowledge.
(B)- I have read the instructions and if I got the admission I will obey all the rules.
(C)- I know that once allotted Technology / Trade will not be changed.
(D)- I will present medical fitness certificate from registered M.B.B.S. medical practitioner in case if I  
      got the admission.

Signature of candidate____________________________________ Dated____________________________

Affidavit from the candidate’s Father/ Guardian
I ____________________________________Father/Guardian of____________________________________
             (Candidate’s Name)
(A)  In case of any accident during training. I will not blame the training institute.
(B)  I will cooperate with the institute during the training of my son / daughter / relative.



Date____________________________ Signature of Father / Guardian _______________________________

Note- Candidate’s father will have to sign this affidavit. In case of death of the father or if father is in foreign country then guardian have to sign this.


Certificate of Permanent Address

I ____________________________________certify that Mr.________________________________________
Son / daughter of ___________________________________ Domicile _______________________________
is resident of District ________________________________


Date___________________________ Signature of Attesting Authority _______________________________
                                                                        Name___________________________________________
                                                                        Stamp___________________________________________

Note- Only a Guzzeted officer can issue this certificate.
Note- Following copies of documents are necessary with the application form otherwise application will not be  
          entertained.
(I)         Attested Educational Certificates from Guzzeted officer (Only Government Recognized School, certificates from Board of Intermediate and Secondary Education is acceptable).
(II)        Character Certificate from the Headmaster / Principal of school / collage last attended.
(III)       Four attested passport size photographs from the Guzzeted officer.
(IV)      Individuals belonging to low income groups having making income of Rs. 15000/- pm or below duly verified by at least 02 Gazetted Officers of the concerned area. 

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Office Use Only

Application found complete / incomplete _______________________________________________________
Deficiency (if any) __________________________________________________________________________
Date_______________________________ Signature of the Checking Person__________________________
Applicant accepted given admission in ________________________________ Technology / Trade.


Chairman Selection Committee______________(Signature with stamp)
________________________________________________________________________________________