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Verification-Form (Local)

The document is an application form for local verification of credentials from the University of Engineering and Technology Taxila. It requests information from the applicant such as name, registration number, program and year of graduation. It also lists the credentials to be verified and their corresponding fees.

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hozaifatwo1
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6 views

Verification-Form (Local)

The document is an application form for local verification of credentials from the University of Engineering and Technology Taxila. It requests information from the applicant such as name, registration number, program and year of graduation. It also lists the credentials to be verified and their corresponding fees.

Uploaded by

hozaifatwo1
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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FORM G1

UNIVERSITY OF ENGINEERING AND TECHNOLOGY TAXILA


APPLICATION FOR LOCAL VERIFICATION OF CREDENTIALS

Note: Before filling in the form, please read the instructions (overleaf) carefully.

1. Name of applicant (in BLOCK letters): _________________________________


Regd. No. ___________________, Discipline: ___________________________
2. Father’s Name: (in BLOCK letters): ____________________________________
3. Level (B.Sc./M.Sc. etc): ___________ and Year of Passing _________________
4. Complete details of Institute if Affiliated ------------------------------------------------
5. Details of Credentials:

Sr. Description of Particulars No. of Fee Total


No. Credential (Sr. No./Date) Copies (calculations) (Rs.)
1. DMC (Semester_____) 250 x
2. TMK 500 x x
3. Transcript of Awards 500 x x
4. Provisional Certificate 250 x
5. Merit Certificate 250 x
6. Degree 500 x
Add Rs. 10 (Application Form)
Grand Total
* The word “Term” implies Term or Semester, as the case may be; where one
year shall be considered equal to two terms or semesters for this purpose.
** TMK = Transcript of Marks; DMC = Detailed Marks Certificate

Amount in Words: ________________________________________________________


Bank Document* No. ___________________________ and Date: __________________
(*Tick the respective one): Bank Draft ( ) Pay Order ( ) Challan ( )

Issuing Bank: _____________________________ Branch: _______________________


Address to where the verified Copies are to be sent:
_______________________________________________________________________
_______________________________________________________________________

Signature of the Applicant (with date): _________________________

To be filled in by the Office


Application No. ______, Dated: ____________ Signature: __________

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Instructions:

1. All the particulars required must be legibly and accurately filled in by the applicant in
his/her own handwriting.

2. This application form, complete in all respects, duly accompanied by necessary


payment – in shape of a bank draft, pay order or security deposit receipt – in favor of
the Treasurer, University of Engineering and Technology Taxila. Payment can also be
made through Online Bank Challan at the Habib Bank Ltd. UET Taxila Branch (Attach
counterfoil-1 with the application). Payment through any other mode including
cheque or cash is NOT acceptable. Details for online deposits are as under;

Bank Name: Habib Bank Limited


Branch: University of Engineering & Technology, Taxila
City: Taxila
Branch Code: 1915
Account Title: UET Recurring
Account Number: 19157900213501
IBAN: PK91 HABB 0019157900213501
Swift Code: HABBPKKA 170
NTN/FTN NO 9001022-6
3. Attach the exact number of clear and legible photocopies of the Credentials
which should be returned to the applicant, or posted where requested by Pakistan
Post.

4. Attach the Returned paid envelope of appropriate size with Address, where the
verified copies are to be sent, if needed except Pakistan Post. This office shall not be
responsible for any delayed or wrong delivery thereof.

5. The current rates of verification fee (subject to revision at any time without any
prior notice) are given below:

 Detailed Marks Certificate (DMC) Rs. 250/- per copy per Term
 Semester Grade Sheet Rs. 250/- per copy per Semester
 Provisional Certificate Rs. 250/- per copy
 Transcript of Awards / (TMK) Rs. 500/- per copy
 Degree Rs. 500/- per copy
 Any other Certificate Rs. 250/- per copy
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