Application Number:Fa-2012-G-06259

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Center For Advanced Studies in Engineering

Sir Syed Memorial Building, 19 Ataturk Avenue, G-5/1, Islamabad Telephone: 92-51-843-2273 Fax: 92-51-831-4660 Email: info@case.edu.pk Web: www.case.edu.pk

Admission Application
Instructions: Mail or hand-deliver this application form duly filled in along with all the required documents and proof of submission of processing fee. Have you ever taken a course at CASE: No. Yes Roll No: _______________ Semester
Spring Summer Fall 20____ 12

Admission Type
M. Sc. CE Regular. Applied Degree: _____________________ Continuing Education. Other Institutes In which subject/area do you intend to concentrate or Major:

Affix one passport size photo here.

Please fill in block letters or type

1. 2. 3. 4. 5. 6. 7. 8.
HAROON AHMED Name: _____________________________________
First Middle Last

0307-5614283 12. Primary Mobile Number: ____________________ haroonrl@gmail.com 13. E-Mail: ___________________________________

Fathers Name: KHALID JAVED _____________________________

Pakistani Nationality: ________________________________ 3740598188543 N.I.C./Passport Number: _____________________

14. Current Employer: NA _________________________ NA i. Industry: _____________________________________

ii. iii. iv.

Date of Birth: ______________________________ 04 October, 1987

Day Month Year

NA Designation: __________________________________ NA Nature of Work:_______________________________

Start Date:____________________________________

Gender:

Male

Female

Pakistan Country of Legal Residence for last two year: _______________ Same As Present Islamabad Permanent Address: _________________________ Pakistan ___________________________________________

NA v. Address: ______________________________________

15. Do you have any Disability: 16. Do you have a scholarship?

Yes Yes

No No

___________________________________________ 9.
Islamabad Current Mailing Address: Pakistan, ____________________ St #05, House #49, khanna kak, Murshad Town.Rawalpindi ___________________________________________

Agency: __________________________ Ref. No.: __________________________ Amount/Semester: __________________________ 17.

i.

___________________________________________ 10. Work Phone Number: _______________________

City Code

Processing Fee:
Amount Paid: ________________________________

11. Home Phone Number: 0514303314 _______________________

ii. Receipt/Postal Order/Draft No: _________________

18. Academic Training Give names of all universities and colleges you have attended, listing the most recent institution first. If you have attended more than five institutions, please submit the details of others on a separate sheet. Institutions (Name, City, Country)
Rawalpindi Boad of Intermediate and Secondary Educat ion. NWFP Board of Technical Education, Peshawar. Sarhad University, Peshawar.

Dates Attended From - To

2001 To 2003 2003 To 2006 2007 To 2012

Certificate or Degree (B.E., B.Sc., M.Sc., etc)

SSC Diploma B. S.

Major Field (Elect, Comp., Avionics Engg., Comp. Sc, etc)

Science y Electrical Technolog Electronics

Dates Awarded/ Expected (Mo, Yr)

2003 2006 2012

GPA/ %age/ ClassRank

507 / 850 2710 / 3550 3644 / 4500

For office use only

Date: ____________________ Receipt No: __________ This is to acknowledge that the completed application form with all the required documents, listed on page 3, for Mr./Ms. ____________________________has been received along with processing fee for admission in ________________ program to pursue a ____________________degree. Received By ________________
Form Geneartion Date & Time: Saturday, 09 June 2012 18:11:50

Application Number:Fa-2012-G-06259

Created with PDF4NET 2.7 evaluation version

19. Experience: Teaching, research, business, military, etc. Account for all your time since you began your undergraduate work to present, other than time spent in academic training. (Attach additional sheets if necessary.)

Institution or Organization
(Name, City, Country)

Nature of Work

Designation

Dates
From To

20. Memberships/participation in honor societies and learned and professional organizations. (Attach additional sheets if necessary.)

_____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________

21. Scholarships, prizes, honors or other recognition. (Attach additional sheets if necessary.) ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ 22. Give titles of publication, major papers, or theses of which you are author or co-author. If published, give citation. (Attach additional sheets if necessary.) _____________________________________________________________________________________________

_____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________

23. Applicant Statement: Attach a one-page statement concerning your previous academic work in your proposed or allied fields of study, including course work, other educational experiences, teaching or other relevant employment, publications and your plans for graduate study and a professional career. If you are currently enrolled in graduate or undergraduate study please list those courses, which you plan to complete before enrolling in the academic programs at CASE. 24. References: (Send two reference letters in sealed envelopes signed on the back by referees along with the application form). Please list below the name and complete address of each person who is acting as referee on your behalf. Each referee should be well acquainted with your intellectual abilities, academic performance and personal character. Name: Designation Company Address: ______________________________
Associate Professor ______________________________ Muhammad Bilal

Name: Designation:

Muhammad Ramzan

___________________________

Director Acadmeics ___________________________ Comwave Institute of Information Technology, Islamabad. ___________________________ Comwave Institute , kashif plaza 1st flo ___________________________ or,f-8 Markaz Islamabad ___________________________

Electrical Engineering Department, Islamic University, Islamabad.Company: ______________________________ Islamic International University, H-10, ______________________________ Islamabad. ______________________________

Address:

______________________________ Tel. No: E-Mail:

03315113102 ______________________________ bilal43@yahoo.com ______________________________

___________________________ Tel No: E-Mail:

051-2287257 ___________________________ ramzan.83@gmail.com ___________________________

Form Geneartion Date & Time: Saturday, 09 June 2012 18:11:50

Application Number:Fa-2012-G-06259

Created with PDF4NET 2.7 evaluation version

25. How did you get the information about CASE? Please check the given options (you can check more than one option here, if applicable) Friends Co-workers Mass Mailing CASE Employees CASE students CASE faculty CASE Website Any Other Source(s): ________________________________________________________________________________ Jung Nation Dawn The News Nawa e Newspaper: Any other Newspaper (please mention): ___________________________________________________ Waqt 26. Top three reasons for applying in CASE (Please write 1, 2, and 3, in front of your choices, in order of your preferences) 3 1 A) Campus/Facilities _____ B) Cost _____ C) Excellent Academic Reputation _____ D) Geographic Location ____ E) Quality of Faculty ____ F) Strength of Academic Program _____ 2 Yes No 27. Have you ever been suspended or dismissed for an educational institute? 28. All applicants must read the following statement and sign (Applications without students signature will be considered incomplete and will not be accepted): The Center for Advanced Studies in Engineering (CASE) is committed to maintaining a safe environment and provision of educational services. We require you to understand the terms and conditions of being a part of the educational program at CASE. Please read carefully the following statement and sign:

I understand that withholding pertinent information requested on this application or giving false information will make me ineligible for admission to the CASE Degree Programs or Continuing Education Program and will make me subject to dismissal. With this in mind, I certify that the statements made in this application form and documents accompanying my application form are correct and complete. I agree that if I am admitted to CASE I will adhere to and be bound by the rules, regulations, and policies of CASE as laid down now and modified subsequently.
Date: __________________________________ Signature: ___________________________

Instructions for form submission

Please make sure that you have read and understood the instructions for admission to the CASE academic programs. Please tick the following as you ensure that all the required documents are enclosed.

Documents Required for Regular Applicants

Completed application form and a photocopy of the complete application form Two attested copies of National Identification Card Two Reference Letters (In sealed envelopes signed by the referees) Two attested copies each of transcripts/academic records and degrees (SSC, F.Sc., B.Sc./B.E., M.Sc., etc) & Valid NTS Result, & PEC Certificate (for MSc EM only). Four passport-size photographs Receipt/P.O/D.D. of Application Processing fee: Rs. 1,500 (for Masters), Rs. 7,000/- (for Comp. Engg. Ph.D.), or Rs. 7,000/- (for Engg. Mgmt.Ph.D.)* One page Applicant Statement (two copies)

Documents required for Continuing Education Applicants

Completed application form One attested copy of National Identification Card. One attested copy of each transcripts/academic records and degrees (Matric, F.Sc., B.Sc./B.E., M.Sc., etc) Two passport-size photographs

*For complete fee structure, please visit CASE website (www.case.edu.pk) Note:
The non-refundable application-processing fee will be deposited in CASE Accounts Office. Applicants from other cities must send a Demand Draft / Pay Order payable to CASE. Personal cheques are not acceptable. The completed application form and proof of submission of application processing fee must be mailed or hand delivered to: CASE, Sir Syed Memorial Building, 19 Ataturk Avenue, G-5/1, Islamabad between the hours of 10am and 6pm, Monday through Friday. Information about graduate programs, application deadlines and academic calendar can be found at http://www.case.edu.pk For further information contact: Telephone: 051-8432273 Fax: 051-8314660 E-mail: info@case.edu.pk
Form Geneartion Date & Time: Saturday, 09 June 2012 18:11:50