SMART (STUDENT ID) CARD REGISTRATION & SERVICES FORM Registration 27710 Applied For duplicate Bank Challan No. Date of Payment Name Masroor Anwar Father's Name Muhammad Anwar Surname Sahito Date of Birth 1997-04-08 Address sardar colony kazi ahmed City Shaheed Benazir Abad Province Sindh Country PK CNIC No. 45401-8235971-1 Mobile No. 03053893727 Email sahitomasroor.sm@gmail.com Programme under graduate Department Architecture Roll No. 16PG17 Date of Admission 2016-01-01 Enrollment No. 0 Emergency Contact Zaheer Anwar Phone/Mobile 03003225606 Person Known Medical NIL Blood Group AB+ Conditions Passport
Signature of Applicant Chairman or Chairperson(UG)/Director(PG)
Note: Please attach a photocopy of valid ID Card / Enrollment Card / Admission Letter
For Library Membership Verification For Office Use Only
Bank Challan No. & Date Form Received Date Expected Card Delivery Date Signature & Stamp of Library focal Person Signature of Smart Card focal Person
Acknowledgement of Receipt Expected Card Delivery Date
This is to acknowledge that Masroor Anwar of Dept. Architecture bearing Roll no. 16PG17 has submitted form on ___________. Recevied By _______________ MEHRAN MEHRAN MEHRAN MEHRAN UNIVERSITY UNIVERSITY UNIVERSITY UNIVERSITY A/C No: 00720007023903 A/C No: 00720007023903 A/C No: 00720007023903 A/C No: 00720007023903 HBL MUET University Sub-Branch HBL MUET University Sub-Branch HBL MUET University Sub-Branch HBL MUET University Sub-Branch Jamshoro Jamshoro Jamshoro Jamshoro Challan No: 27710 Challan No: 27710 Challan No: 27710 Challan No: 27710 Reg No: 27710 Reg No: 27710 Reg No: 27710 Reg No: 27710 Full Name: Masroor Anwar Full Name: Masroor Anwar Full Name: Masroor Anwar Full Name: Masroor Anwar Roll No: 16PG17 Roll No: 16PG17 Roll No: 16PG17 Roll No: 16PG17 Amount Amount Amount Amount Description Description Description Description (PKR) (PKR) (PKR) (PKR) Duplicate Card Duplicate Card Duplicate Card Duplicate Card Rs. 1000.00 Rs. 1000.00 Rs. 1000.00 Rs. 1000.00 Processing Fee Processing Fee Processing Fee Processing Fee Total Amount Total Amount Total Amount Total Amount Payable Rs. 1000.00 Payable Rs. 1000.00 Payable Rs. 1000.00 Payable Rs. 1000.00 Not Refundable Not Refundable Not Refundable Not Refundable ___________ ___________ ___________ ___________ ___________ ___________ ___________ ___________ Manager Cashier Manager Cashier Manager Cashier Manager Cashier Bank's Copy Account's Branch Copy ICPC's Copy Candidate's Copy